The trabectome as treatment option in secondary glaucoma due to intraocular lymphoma.

Abstract:

:Primary intraocular lymphoma can cause an elevation of intraocular pressure (IOP), resulting from infiltration of the trabecular meshwork with neoplastic lymphocytes. More rarely, therapeutic procedures can induce a highly synchronised death of tumor cells, leading to congestion of the trabecular meshwork with cell debris. We report on a case of severe IOP elevation after intraocular therapy with methotrexate and rituximab. As medical glaucoma therapy failed, a trabeculotomy with the trabectome was performed, leading to an immediate and sustained decrease in IOP. This novel approach is discussed considering pathogenic aspects of lymphoma-associated glaucoma and alternative surgical techniques.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

van Oterendorp C,Ness T,Illerhaus G,Neuburger M,Jordan JF

doi

10.1097/IJG.0b013e31827a0875

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

482-4

issue

7

eissn

1057-0829

issn

1536-481X

pii

00061198-201409000-00015

journal_volume

23

pub_type

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