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Iranian Journal of Medical Sciences، جلد ۴۱، شماره ۵، صفحات ۴۳۷-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Glaucoma Surgery in Pregnancy: A Case Series and Literature Review
چکیده انگلیسی مقاله Abstract Glaucoma management in pregnant patients is a real challenge, especially when the glaucoma is not controlled with medications. We report the results of 6 incisional glaucoma surgeries for the management of medically uncontrolled glaucoma patients during pregnancy. This retrospective, case series was conducted on the 6 eyes of 3pregnant patients with uncontrolled glaucoma using maximum tolerable medications. Details of the glaucoma surgical management of these patients as well as their postoperative care and pregnancy and clinical outcomes on longitudinal follow-up are discussed. All 3 patients had juvenile open-angle glaucoma and were on various anti-glaucoma medications, including oral acetazolamide. The first case described underwent trabeculectomy without antimetabolites in both eyes because of uncontrolled intraocular pressure with topical medications. The surgery was done with topical lidocaine jelly and subconjunctival lidocaine during the second and third trimesters. The second patient had an Ahmed valve implantation in both eyes during the second and third trimesters because of uncontrolled IOP with topical medications and no response to selective laser trabeculoplasty. Surgery was done with topical tetracaine and subconjunctival and sub-Tenon’s lidocaine. The third case had a Baerveldt valve implantation under general anesthesia in the second trimester. In selected pregnant glaucoma patients with medically uncontrolled intraocular pressure threatening vision, incisional surgery may lead to good outcomes for the patient with no risk for the fetus.
کلیدواژه‌های انگلیسی مقاله Glaucoma drainage implants, Pregnancy, Trabeculectomy
نویسندگان مقاله محمد رضا رازقی نژاد | mohammad reza razeghinejad
poostchi eye research center, poostchi clinic, shiraz university of medical sciences, shiraz, iran;

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

معصومه معصوم پور | masoumeh masoumpour
poostchi eye research center, poostchi clinic, shiraz university of medical sciences, shiraz, iran;

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

محمد حسین اقبال | mohammad hossein eghbal
department of anesthesiology, faghihi hospital, shiraz university of medical sciences, shiraz, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

جاناتن s myers | jonathan s myers
glaucoma service, wills eye institute, jefferson medical college, philadelphia, usa


marlene r moster | marlene r moster
glaucoma service, wills eye institute, jefferson medical college, philadelphia, usa
نشانی اینترنتی http://ijms.sums.ac.ir/index.php/IJMS/article/view/1400
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Case Series
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