Post Trabeculectomy Visual Loss: Is it Wipe-Out?

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Published

2024-12-05

Keywords:

Advanced glaucoma; wipe-out; snuff syndrome; trabeculectomy; visual loss

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Issue

Vol. 12 No. 03 (2024): UP Journal of Ophthalmology

Section

Case Report

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

Authors

  • Vaibhav Kumar Jain Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
  • Saraswati Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
  • Lubna Maroof Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

Abstract

Glaucoma filtration surgery in advanced glaucoma poses a significant challenge as it is associated with the rare risk of visual loss which is known as 'wipe-out' phenomenon. Our case had severe visual loss after trabeculectomy with cataract extraction for advanced primary angle closure glaucoma, which gradually recovered partially. Advanced visual field defect, high IOP in preoperative and immediate postoperative period, pallor of the neuro retinal rim pallor, and peribulbar anaesthesia were the plausible factors in our patient. This case highlights the rare but important complication of 'wipe-out', its risk factors, and further preventive measures in advanced glaucoma.

How to Cite

1.
Vaibhav Kumar Jain, Saraswati, Lubna Maroof. Post Trabeculectomy Visual Loss: Is it Wipe-Out?. UPJO [Internet]. 2024 Dec. 5 [cited 2025 Jan. 22];12(03):17-9. Available from: https://upjo.org/index.php/upjo/article/view/557

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