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Intravitreal Aflibercept treatment of anterior segment ischemia after scleral buckling surgery

2018; Linguagem: Inglês

10.14744/bej.2018.64936

2587-0394

Muhammet Kazım Erol,

Ocular Diseases and Behçet’s Syndrome

This report describes a case of corneal edema, aqueous flare, rubeosis iridis, and neovascular glaucoma due to anterior segment ischemia after scleral buckling surgery that was treated with intravitreal aflibercept.Anterior segment ischemia is a complication that may develop after scleral buckling surgery.The signs of anterior segment ischemia include corneal edema, aqueous flare, iris atrophy, photophobia, rubeosis iridis, neovascular glaucoma, and cataract formation.It can be diagnosed with biomicroscopy and carotid Doppler ultrasonography.In the present case, there were signs of corneal edema, aqueous flare, rubeosis iridis, and neovascular glaucoma due to anterior segment ischemia that developed after scleral buckling surgery.No pathology was found in carotid Doppler ultrasonography.Intravitreal aflibercept treatment was administered to the left eye.At a follow-up 2 weeks later, it was determined that the rubeosis iridis had receded: there were no cells in the anterior chamber, and the left eye intraocular pressure was 16 mmHg.The patient was followed for 2 years.After 1 year, implantation of an Ex-press shunt (Alcon, Hunenberg, Switzerland) was performed for glaucoma.Intravitreal aflibercept treatment was administered to the left eye 4 times over 2 years.