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Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy

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Title: Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy
Authors: Deema E. Jomar, Sara AlHilali, Mohammed AlMutlak
Source: American Journal of Ophthalmology Case Reports, Vol 29, Iss , Pp 101769- (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Ophthalmology
Subject Terms: Scleral melt, Uveal prolapse, Pars plana vitrectomy, Glaucoma, Myopia, Ophthalmology, RE1-994
More Details: Purpose: To report a case of uncontrolled juvenile open angle glaucoma (JOAG), with secondary high axial myopia who presented with scleral melting and uveal prolapse post pars plana-vitrectomy. Observations: A 17-year-old male juvenile glaucoma patient, not known to have any systemic disease underwent a right eye 23-gauge-pars plana vitrectomy for retinal detachment repair. Three weeks following his surgery he presented complaining of tearing and photophobia in the operated eye in the absence of any ocular pain. Clinical exam revealed enlarged sclerotomy sites with localized conjunctival and episcleral injection, scleral thinning and uveal prolapse. Infectious and serologic work up were obtained to rule out an infectious etiology or underlying autoimmune disease. Patient was successfully managed with topical steroids and a donor scleral patch graft. Conclusion and importance: This report addresses multiple risk factors for a devastating complication that may occur in predisposed patients, with primary or secondary axial myopia and a compromised sclera. This group of patients can be at risk of post-operative scleral melting and thinning and should be identified pre-operatively and monitored closely during their post-operative course.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2451-9936
Relation: http://www.sciencedirect.com/science/article/pii/S2451993622005151; https://doaj.org/toc/2451-9936
DOI: 10.1016/j.ajoc.2022.101769
Access URL: https://doaj.org/article/7058cc94b62e4d2d97cc57186b47a6c3
Accession Number: edsdoj.7058cc94b62e4d2d97cc57186b47a6c3
Database: Directory of Open Access Journals
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  Data: American Journal of Ophthalmology Case Reports, Vol 29, Iss , Pp 101769- (2023)
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  Data: <searchLink fieldCode="DE" term="%22Scleral+melt%22">Scleral melt</searchLink><br /><searchLink fieldCode="DE" term="%22Uveal+prolapse%22">Uveal prolapse</searchLink><br /><searchLink fieldCode="DE" term="%22Pars+plana+vitrectomy%22">Pars plana vitrectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Glaucoma%22">Glaucoma</searchLink><br /><searchLink fieldCode="DE" term="%22Myopia%22">Myopia</searchLink><br /><searchLink fieldCode="DE" term="%22Ophthalmology%22">Ophthalmology</searchLink><br /><searchLink fieldCode="DE" term="%22RE1-994%22">RE1-994</searchLink>
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  Label: Description
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  Data: Purpose: To report a case of uncontrolled juvenile open angle glaucoma (JOAG), with secondary high axial myopia who presented with scleral melting and uveal prolapse post pars plana-vitrectomy. Observations: A 17-year-old male juvenile glaucoma patient, not known to have any systemic disease underwent a right eye 23-gauge-pars plana vitrectomy for retinal detachment repair. Three weeks following his surgery he presented complaining of tearing and photophobia in the operated eye in the absence of any ocular pain. Clinical exam revealed enlarged sclerotomy sites with localized conjunctival and episcleral injection, scleral thinning and uveal prolapse. Infectious and serologic work up were obtained to rule out an infectious etiology or underlying autoimmune disease. Patient was successfully managed with topical steroids and a donor scleral patch graft. Conclusion and importance: This report addresses multiple risk factors for a devastating complication that may occur in predisposed patients, with primary or secondary axial myopia and a compromised sclera. This group of patients can be at risk of post-operative scleral melting and thinning and should be identified pre-operatively and monitored closely during their post-operative course.
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      – Text: English
    Subjects:
      – SubjectFull: Scleral melt
        Type: general
      – SubjectFull: Uveal prolapse
        Type: general
      – SubjectFull: Pars plana vitrectomy
        Type: general
      – SubjectFull: Glaucoma
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