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Retinale Blutungen nach Ahmed-Drainage-Implantation

Retinal hemorrhages after Ahmed glaucoma valve implantation

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Zusammenfassung

Ein 31-jähriger Patient entwickelte nach einer schweren Contusio bulbi und nach mehrfachen Eingriffen am rechten Auge eine konservativ nicht beherrschbare Tensiodekompensation, was die Implantation einer Ahmed-Drainage notwendig machte. Postoperativ bestand eine Dekompressionsretinopathie, die sich nach 6 Monaten nahezu vollständig zurückgebildet hat. Erläutert werden Verlauf und mögliche Genesefaktoren der seltenen, vornehmlich nach filtrierender Glaukomchirurgie auftretenden Entität.

Abstract

A 31-year-old male patient developed uncontrolled elevation of intraocular pressure (IOP) under maximum tolerated therapy after severe blunt trauma to the right eye. For IOP control an Ahmed glaucoma valve implantation was necessary. On the first postoperative day the patient presented with retinal hemorrhages typical for decompression retinopathy. After a period of 6 months the hemorrhages had almost resolved and visual acuity was unaffected. The clinical picture of the case and possible mechanisms of this rare entity, which usually appears after incisional glaucoma surgery, are presented.

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Authors and Affiliations

  1. Augenklinik, Universitätsklinik Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland

    C. Hermann, K. Pillunat & L.E. Pillunat

Authors
  1. C. Hermann
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  2. K. Pillunat
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  3. L.E. Pillunat
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Correspondence to C. Hermann.

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Dieses Manuskript basiert auf einem Vortrag, gehalten im Consilium Diagnosticum auf dem DOG-Kongress 2012.

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Hermann, C., Pillunat, K. & Pillunat, L. Retinale Blutungen nach Ahmed-Drainage-Implantation. Ophthalmologe 110, 978–981 (2013). https://doi.org/10.1007/s00347-012-2762-1

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  • DOI: https://doi.org/10.1007/s00347-012-2762-1

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