Embyronal Carcinoma of Testis Metastatic to Ciliary Body Presenting as Spontaneous Hyphema and Painful Secondary Glaucoma

Valent, David; Augsburger, James J.; Corrêa, Zélia M.

doi:10.1097/icb.0b013e318275380b

Cited by 3 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Secondary glaucoma caused by iridociliary metastases is a relatively rare condition which does not respond well to intraocular pressure (IOP) control using medications. 1 , 2 , 3 , 4 Ciliary body metastasis accounts for approximately 2% of uveal metastasis. 5 Two-thirds of patients with ciliary body metastasis have secondary ocular hypertension.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of micropulse transscleral laser therapy in uncontrolled glaucoma secondary to ciliary body metastasis

Suvannachart

Jaru-Ampornpan

Chansangpetch

et al. 2021

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

Purpose To report a case of ciliary body metastasis with uncontrolled glaucoma that was successfully treated with micropulse transscleral laser therapy (MPTLT). Observations A case of a 44-year-old female with uncontrolled glaucoma secondary to ciliary body metastasis from pulmonary adenocarcinoma. Antiglaucoma medications, intravitreal ranibizumab injection and local radiotherapy were ineffective in reducing her intraocular pressure (IOP) and ocular pain. MPTLT using a power setting of 2,000 mW, 31.3% duty cycle, and 140 seconds over 180 degrees demonstrated favorable IOP reduction (from 31 to 8 mmHg) on the first postoperative day without either ocular pain or postoperative complications. IOP remained controlled until she died from hemoperitoneum 18 days after hospital discharge. Conclusions and importance MPTLT can be a safe and effective procedure for IOP control in intraocular metastasis patients with uncontrolled glaucoma.

show abstract