Abstract:
PURPOSE:To report a case of a patient with mixed mechanism glaucoma and a clear lens who was successfully surgically treated with combination cataract extraction, goniosynechiolysis and the Hydrus stent. OBSERVATION:A 59-year-old Afro-Latino woman with a history of mixed mechanism glaucoma. She was taking latanoprost OU QHS. Best corrected visual acuities were 20/25 OU. Her intraocular pressures were 18 mmHg OU. Anterior segment examination revealed pigment on the lens zonules, and intermittent peripheral anterior synechiae in the angle. Optic nerves revealed glaucomatous cupping OU. After discussion of the risks and benefits, she agreed to undergo combined lensectomy, goniosynechiolysis, and Hydrus stent to lower the intraocular pressure on less medical therapy. Her vision improved to 20/20 with a mean IOP in the right eye during the 6 months follow up period was 12 mmHg on no medication. CONCLUSION:and Importance: Patients mixed mechanism glaucoma may benefit from earlier cataract extraction, goniosynechiolysis and Hydrus stent placement to lower intraocular pressure and reduce medication burden.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Laroche D,Brown A,Ng Cdoi
10.1016/j.jnma.2020.04.003subject
Has Abstractpub_date
2020-08-01 00:00:00pages
339-343issue
4eissn
0027-9684issn
1943-4693pii
S0027-9684(20)30077-8journal_volume
112pub_type
杂志文章abstract::Guidelines for pain management in adult sickle cell patients with vaso-occlusive crises suggest prompt, frequent administration of parenteral opioids. Neither the ability to implement these guidelines in a busy urban emergency department nor opioid dose requirements in uncomplicated vaso-occlusive crisis have been pre...
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journal_title:Journal of the National Medical Association
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abstract::The purpose of this survey of 528 black men in Miami and Fort Lauderdale, FL, was to assess prostate cancer knowledge among African-American, English-speaking Caribbean, Haitian-American, and African men in America. Knowledge levels were assessed by education, ethnicity, age, income, family history of prostate cancer,...
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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doi:
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journal_title:Journal of the National Medical Association
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doi:
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journal_title:Journal of the National Medical Association
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