Glaucoma and retina
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Edité par CCSD -
International audience. Purpose: Retinal and vitreoretinal surgeries frequently lead to an elevation of intraocular pressure (IOP) and/or glaucoma. Clinical presentations correspond to secondary glaucomas with an open-angle or with angle-closure. Results: Since myopia is a risk factor for retinal detachment and glaucoma as well, it is not surprising that these two disorders are often combined. Cortiscosteroids are widely used in retinal surgeries and the elevation of IOP related to the use of corticosteroids has long been recognized, whatever the route, topical, intravenous or intravitreal. Specific conditions such as Schwartz syndrome or Ghost-cell glaucoma are not very frequent. However scleral buckling procedures, injection of air, expansive gas and silicone oil may lead to severe elevations of IOP. Conclusion: The management of these secondary glaucomas can be difficult because of the inflammatory status of the eye and the recurrence of the retinal diseases. Clinical examination and particularly gonioscopy is the key issue to lead the clinician to the appropriate treatment.
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