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Spontaneous globe rupture in primary congenital glaucoma: an interesting case

Poster Details

First Author: E.Zopounidou GREECE

Co Author(s):    E. Kanonidou   C. Skatharoudi   C. Petsou   P. Kalouda   G. Sakkias  

Abstract Details

Purpose:

Primary congenital glaucoma is characterized by elevated intraocular pressure , enlargement of the globe and stretching of cornea and sclera. This results in less rigid and thinner sclera as well as corneal Descemet breaks and very often corneal oedema. Spontaneous globe rupture is very likely to happen after the disruption of the normal anatomical structures. Our purpose is to present an interesting case of spontaneous globe rupture in a young patient with primary congenital glaucoma in order to underline the significance of the structural changes caused by the disease along with the surgical treatment prospectives.

Setting:

Department of Ophthalmology, ‘’Hippokrateion’’General Hospital of Thessaloniki, Thessaloniki, Greece

Methods:

A 39 year old woman presented at the emergency department of our hospital with spontaneous anterior globe rupture in the left eye. Structures as the vitreous and ciliary body prolapsed from the site of the rupture. The patients history revealed visual acuity lower than 1/20 despite the previous cataract surgery, trabeculectomy and valve insertion.

Results:

The patient received immediate surgical treatment and careful suturing of the limbus area. Despite the wound closure and the anterior chamber formation, the shocked ciliary body resulted in phisis bulbi. Finally the patient underwent enucleation and received ocular prosthesis.

Conclusions:

Primary congenital glaucoma is a disease entity that often results in devastating complications. Globe rupture can be one of them. The surgical treatment despite the numerous surgical options remains challenging.

Financial Disclosure:

NONE

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