twitter
en POLSKI
eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Current issue Archive Videos Articles in press About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
2/2020
vol. 122
 
Share:
Share:
abstract:
Case report

Can optic nerve sheath meningioma affect the post-operative course after trabeculectomy? – case report

Michał Post
1
,
Magdalena Durajczyk
1
,
Wojciech Lubiński
1

  1. 2nd Chair and Department of Ophthalmology, Pomeranian Medical University in Szczecin, Poland
KLINIKA OCZNA 2020, 122, 2: 66–71
Online publish date: 2020/06/04
View full text Get citation
 
PlumX metrics:
The authors report a case of a 37-year-old man treated due to concomitant open-angle glaucoma and chronic optic disc oedema in his left eye. During 4-year observation the patient underwent routine glaucoma treatment and periocular triamcinolone injections, with periodical resolution of symptoms (visual snow) and improvement in the eye electrophysiological performance. During diagnostic proceeding, including routine ophthalmological examinations and extensive imaging and electrophysiological examinations (CT, MRI, angioMRI), left-sided optic nerve sheath meningioma was diagnosed.

Due to intolerance of topical medicines and fluctuation of intraocular pressure, trabeculectomy with mitomycin was performed in the patient, complicated with chronic choroidal effusion and hypotony maculopathy. In the discussion, the authors analyse the potentially adverse effect of optic nerve sheath meningioma on the persistent nature of post-operative complications. The trabeculectomy procedure in this group of patients seems to be increased-risk surgery and is not recommended. Therefore in patients with optic nerve sheath meningioma procedures associated with lower risk of post-operative hypotony (minimally invasive glaucoma surgery (MIGS), valves) should be considered.
keywords:

optic nerve sheath meningioma, glaucoma, hypo-tony, trabeculectomy, hypotony maculopathy

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.