skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8838

Baerveldt implant for secondary glaucoma due to iris melanoma

Case report

(2588) Views  (568) Full article downloads

Authors: Annelie N Tan, Juliette GMM Hoevenaars, Carroll AB Webers, et al

Published Date May 2010 Volume 2010:4 Pages 407 - 409
DOI: http://dx.doi.org/10.2147/OPTH.S9523

Annelie N Tan1, Juliette GMM Hoevenaars1, Carroll AB Webers1, Bertil Damato2, Henny JM Beckers1

1University Eye Clinic, Maastricht, The Netherlands; 2Ocular Oncology Service Royal Liverpool University Hospital, Liverpool, United Kingdom

Background: Proton beam therapy (PBT) is effective in the treatment of iris melanoma. Reported complications after PBT are radiation-induced cataract and raised intraocular pressure (IOP). Filtering glaucoma surgery has generally been avoided because of fears of seeding.

Case report: A 37-year-old man presented with a self-discovered, pigmented lesion on his right iris. Four years later, the pigmented lesion was diagnosed as an iris melanoma, because of documented growth. The patient was treated with PBT but developed secondary glaucoma one month later. The IOP could not be controlled despite maximal medical therapy and selective laser trabeculoplasty (SLT). Finally, Baerveldt implant surgery was performed, resulting in an IOP lowering to 10 mmHg and stabilization of the glaucomatous visual field loss.

Conclusion: Our case demonstrates that Baerveldt implant surgery is a reasonable therapy for glaucoma following successful radiotherapy of iris melanoma.

Keywords: iris melanoma, proton beam therapy, secondary glaucoma, Baerveldt implant surgery








Readers of this article also read:

Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors
Efficacy and safety of the pars plana clip in the Ahmed valve device inserted via the pars plana in patients with refractory glaucoma
Health literacy and health seeking behavior among older men in a middle-income nation
Retinal nerve fiber layer evaluation in multiple sclerosis with spectral domain optical coherence tomography
Trabeculectomy versus Ahmed Glaucoma Valve implantation in neovascular glaucoma
Erratum
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients
Erratum
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
The use of amniotic membrane in trabeculectomy for the treatment of primary open-angle glaucoma: a prospective study