04 June 2007
Comparative outcome of trebeculectomy glaucoma surgery (right eye) versus microtrephination glaucoma surgery (left eye) in an undiagnosed keloid former
Joseph Momodu Waziri-Erameh, Afekhide Ernest OmotiCase Rep Clin Pract Rev 2007; 8:139-142 :: ID: 485022
Abstract
Background: Glaucoma is the second leading cause of blindness in sub-Saharan Africa after cataract. The standard treatment is trabeculectomy. However, higher fibroblast activities in Blacks and Asians from more vigorous tissue reactions to trauma including surgical trauma, cause filtering glaucoma procedures to fail more in Blacks than in Caucasians. This report shows the
advantage of microtrephination over trabeculectomy in a Keloid former with glaucoma.
Case Report: One male glaucoma patient had trabeculectomy in the right eye and microtrephination in the left eye at the University of Benin Teaching Hospital, Benin-city, Nigeria. He was not known to be a Keloid former at the time of surgery. Trabeculectomy failed to control the intraocular pressure in the right eye under 6 months and had to be repeated twice before it was discovered that the patient was a keloid former. Microtrephination was able to control and keep the intraocular below 20 mmHg in the other eye (left eye) for at least 2 years before he was lost to follow-up.
Conclusions: Microtrephination may be a more effective procedure than trabeculectomy in controlling intraocular pressure in glaucoma patients who are keloid formers.
Keywords: Glaucoma, microtreplination, Trabeculectomy, keloid
31
In Press
14 Mar 2024 : Case report
Laparoscopic Sleeve Gastrectomy with Staple-Line Oversewing in a Patient with Factor XI Deficiency: A Case ...Am J Case Rep In Press; DOI: 10.12659/AJCR.942824
14 Mar 2024 : Case report
Pathogenic Potential of a PCK1 Gene Variant in Cytosolic PEPCK Deficiency: A Compelling Case StudyAm J Case Rep In Press; DOI: 10.12659/AJCR.943118
14 Mar 2024 : Case report
Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Lapa...Am J Case Rep In Press; DOI: 10.12659/AJCR.942826
14 Mar 2024 : Case report
Simultaneous Occurrence of Collagen Type III Glomerulopathy and Immunoglobulin A Nephropathy: A Rare Case R...Am J Case Rep In Press; DOI: 10.12659/AJCR.942770
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250