• Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol · Mar 1976

    Angel-closure glaucoma following scleral buckling operations.

    • R N Perez, C D Phelps, and T C Burton.
    • Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 Mar 1; 81 (2): 247-52.

    AbstractWe have observed 22 patients with angle-closure glaucoma following scleral buckling operations. These patients did not have narrow anterior chamber angles preoperatively, and several were aphakix with surgical iris colobomas. The angle-closure glaucoma was manifest by a hazy cornea, elevated intraocular pressure, closed angle, absence or iris bombé, and presence of choroidal detachments. Treatment with cycloplegics and corticosteroids was more effective than treatment with miotics. A likely pathogenic mechanism is congestion and swelling of the ciliary body due to a temporary interference by the scleral buckle with venous drainage. Episcleral implants accounted for a statistically significant higher incidence of angle-closure glaucoma as compared to intrascleral implants.

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