Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 4 Issue 6

Secondary Angle Closure Following Panretinal Yellow PASCAL Laser Photocoagulation

Tatiana Vélez Osorio1*, Nassim Abreu2 and William McCollum3

12nd year Ophthalmology Resident at Hospital Dr. Elías Santana and Instituto Tecnológico de Santo Domingo, Dominican Republic E-mail: Hes.oftalmologia.tvo@gmail.com

2taff doctor of the Retina department of Hospital Dr. Elías Santana and Instituto Tecnológico de Santo Domingo, Dominican Republic E-mail: Hes.oftamologia.naa@gmail.com

3Staff doctor of the Glaucoma department of Hospital Dr. Elías Santana and Instituto Tecnológico de SantoDomingo, Dominican Republic E-mail: Hes.oftalmologia.wmm@gmail.com

*Corresponding Author: Tatiana Vélez Osorio, 2nd year Ophthalmology Resident at Hospital Dr. Elías Santana and Instituto Tecnológico de Santo Domingo, Dominican Republic.

Received: April 17, 2021; Published: May 11, 2021

Abstract

Objective: To report the case of a patient with severe non-proliferative diabetic retinopathy who developed angle closure after undergoing retinal photocoagulation (PRP) with a yellow Pascal 577 nm laser.

Observation: 30-year-old male with severe non-proliferative diabetic retinopathy presented with severe ocular pain and nausea one day after undergoing laser photocoagulation in the left eye for the treatment of his diabetic retinopathy. His visual acuity was 20/200 and his intraocular pressure (IOP) was 45 in his left eye. It had a shallow anterior chamber that was closed on gonioscopy. Ultrasonic biomicroscopy (UBM) reported an anterior chamber of 1.68 mm with narrow iridocorneal angles. He was managed with medications to reduce IOP, which included cycloplegics, topical and oral steroids. He was closely followed with serial examination and the intraocular pressure was reduced before developing glaucoma.

Conclusion: Patients presenting with ocular pain and increased IOP after laser photocoagulation should increase suspicion for angle closure. Limiting the number of laser burns and the amount of retinal area treated can prevent this problem from occurring.

Keywords: Secondary Angle Closure; Angle Closure Glaucoma; Retinal Pan-Photocoagulation

References

  1. Blondeau P., et al. “Acute pressure elevation following panretinal photocoagulation”. Archives of Ophthalmology 7 (1981): 1239-1241.
  2. Yuki T., et al. “Ciliary body and choroidal detachment after laser photocoagulation for diabetic retinopathy. A high-frequency ultrasound study”. Ophthalmology8 (1997): 1259-1264.
  3. Mensher JH. “Anterior chamber depth alteration after retinal photocoagulation”. Archives of Ophthalmology1 (1977): 113-116.
  4. Huamonte FU., et al. “Immediate fundus complications after retinal scatter photocoagulation. I. Clinical picture and pathogenesis”. Ophthalmic Surgery1 (1976): 88-99.
  5. Kaufman SC., et al. “Intraocular pressure following panretinal photocoagulation for diabetic retinopathy. Diabetic Retinopathy Report No. 11”. Archives of Ophthalmology6 (1987): 807-809.
  6. Gentile RC., et al. “Risk factors for ciliochoroidal effusion after panretinal photocoagulation”. Ophthalmology5 (1996): 827-832.
  7. Liang JC and Huamonte FU. “Reduction of immediate complications after panretinal photocoagulation”. Retina3 (1984): 166-170.
  8. Kapoor B., et al. “An unusual case of acute angle closure glaucoma following argon laser pan retinal photocoagulation”. BMJ Case Reports (2010): bcr1220092511.
  9. Agarwal S., et al. “Variability of IOP following laser photocoagulation used in the treatment of diabetic retinopathy”. International Journal of Surgery 10 (2017): 3433-3440.
  10. Birinci H., et al. “Anterior chamber depth and intraocular pressure following panretinal argon laser photocoagulation for diabetic retinopathy”. Annals of Saudi Medicine 1 (2006): 73-75.
  11. Tsai JC., et al. “Incidence of Acute intraocular pressure elevation after panretinal photocoagulation”. Journal of Glaucoma 1 (1995): 45-48.
  12. Pavan PR., et al. “Complications of laser photocoagulation”. In: We- ingeist TA, Sneed SR. Editors. Laser Surgery in Ophthalmology”. Appleton-Lange 18 (1992): 185-199.
  13. Wand M., et al. “Ef- fects of panretinal photocoagulation on rubeosis iridis, angle neovascularization, and neovascular glaucoma”. American Journal of Ophthalmology (1986): 332-339.
  14. Muqit MM., et al. “Pain responses of Pascal 20ms multi-spot and 100 ms single-spot panretinal photo-coagulation: Manchester Pascal Study, MAPASS report 2”. British Journal of Ophthalmology11 (2010): 1493-1498.
  15. Nemcansky J., et al. “Single session of pattern scanning laser versus multiple sessions of conventional laser for panretinal photocoagulation in diabetic retinopathy: Efficacy, safety and painfulness”. PLoS One 7 (2019): e0219282.
  16. Muqit MM., et al. “Single-session vs multiple-session pattern scanning laser panretinal photocoagulation in proliferative diabetic retinopathy: The Manchester Pascal Study”. Archives of Ophthalmology 5 (2010): 525-533.

Citation

Citation: Tatiana Vélez Osorio., et al. “Secondary Angle Closure Following Panretinal Yellow PASCAL Laser Photocoagulation".Acta Scientific Ophthalmology 4.6 (2021): 27-31.

Copyright

Copyright: © 2021 Tatiana Vélez Osorio., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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