Diode laser transscleral cyclophotocoagulation-induced staphyloma following trabeculectomy with mitomycin C

Ophthalmic Surg Lasers Imaging. 2008 Jul-Aug;39(4):343-5. doi: 10.3928/15428877-20080701-14.

Abstract

A 42-year-old man developed progressive scleral iatrogenic staphyloma in the region of a previous trabeculectomy with mitomycin C after three sessions of diode laser transscleral cyclophotocoagulation for a refractory glaucoma secondary to trauma. After clinical and laboratory evaluations, no signs of systemic or autoimmune disorders were found. The patient underwent a reinforcement of the eye wall with a scleral patch over the staphyloma area and a glaucoma drainage device was implanted. Repeated transscleral cyclophotocoagulation procedures should be performed cautiously in patients who have had previous trabeculectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ciliary Body / surgery*
  • Combined Modality Therapy
  • Dilatation, Pathologic
  • Glaucoma / surgery
  • Humans
  • Iatrogenic Disease*
  • Intraocular Pressure
  • Laser Coagulation / adverse effects*
  • Lasers, Semiconductor
  • Male
  • Mitomycin*
  • Sclera / pathology*
  • Scleral Diseases / etiology*
  • Trabeculectomy*

Substances

  • Mitomycin