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Inadvertent Implantation of Aqueous Tube Shunts in Glaucomatous Eyes With Unrecognized Intraocular Neoplasms: Report of 5 Cases

Inadvertent Implantation of Aqueous Tube Shunts in Glaucomatous Eyes With Unrecognized... Research Case Report/Case Series Inadvertent Implantation of Aqueous Tube Shunts in Glaucomatous Eyes With Unrecognized Intraocular Neoplasms: Report of 5 Cases Swathi Kaliki, MD; Ralph C. Eagle, Jr, MD; Hans E. Grossniklaus, MD; R. Jean Campbell, MD; Carol L. Shields, MD; Jerry A. Shields, MD ntraocular tumors are a recognized cause of secondary glau- Emory University [case 4], and Mayo Clinic [case 5]). Institu- coma. Mechanisms of tumor-related glaucoma include di- tional review board approval was obtained. I rect tumor invasion or infiltration of the anterior chamber The details of these 5 cases are summarized in Table 1 and angle, pupillary block caused by anterior displacement of iris- Table 2. The diagnosis of intraocular tumor was confirmed on lens diaphragm in the eyes with tumors located posterior to histopathologic examination. There were 2 cases of medullo- the iris, melanomalytic or melanocytomalytic glaucoma, tu- epithelioma and 3 cases of uveal melanoma misdiagnosed as mor-induced neovascular glaucoma, inflammatory glau- nontumor-related glaucoma in this series. Histopathologic evi- coma secondary to tumor necrosis, hemolytic glaucoma, and dence of extraocular tumor extension was present in 4 cases. glaucoma due to elevated episcleral venous pressure second- The aqueous tube shunts were placed for secondary glau- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Inadvertent Implantation of Aqueous Tube Shunts in Glaucomatous Eyes With Unrecognized Intraocular Neoplasms: Report of 5 Cases

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2013.828
pmid
23699787
Publisher site
See Article on Publisher Site

Abstract

Research Case Report/Case Series Inadvertent Implantation of Aqueous Tube Shunts in Glaucomatous Eyes With Unrecognized Intraocular Neoplasms: Report of 5 Cases Swathi Kaliki, MD; Ralph C. Eagle, Jr, MD; Hans E. Grossniklaus, MD; R. Jean Campbell, MD; Carol L. Shields, MD; Jerry A. Shields, MD ntraocular tumors are a recognized cause of secondary glau- Emory University [case 4], and Mayo Clinic [case 5]). Institu- coma. Mechanisms of tumor-related glaucoma include di- tional review board approval was obtained. I rect tumor invasion or infiltration of the anterior chamber The details of these 5 cases are summarized in Table 1 and angle, pupillary block caused by anterior displacement of iris- Table 2. The diagnosis of intraocular tumor was confirmed on lens diaphragm in the eyes with tumors located posterior to histopathologic examination. There were 2 cases of medullo- the iris, melanomalytic or melanocytomalytic glaucoma, tu- epithelioma and 3 cases of uveal melanoma misdiagnosed as mor-induced neovascular glaucoma, inflammatory glau- nontumor-related glaucoma in this series. Histopathologic evi- coma secondary to tumor necrosis, hemolytic glaucoma, and dence of extraocular tumor extension was present in 4 cases. glaucoma due to elevated episcleral venous pressure second- The aqueous tube shunts were placed for secondary glau-

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jul 1, 2013

References