Unilateral optic disc edema following trabeculectomy

J Neuroophthalmol. 1998 Jun;18(2):121-3.

Abstract

Two cases of a benign form of optic disc edema after successful trabeculectomy are reported. In both patients, optic disc edema was noted 2 to 4 weeks after trabeculectomy. The edema occurred without loss of visual acuity or field. The absolute intraocular pressure and intracranial pressure were normal--that is, the edema was not a syndrome of hypotony or pseudotumor cerebri. However, both patients had intracranial pressure in the high-normal range. The decrease in intraocular pressure into the low normal range after trabeculectomy may have altered the intracranial pressure:intraocular pressure ratio at the lamina cribrosa enough to produce optic disc edema.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Glaucoma / surgery
  • Humans
  • Intracranial Hypertension / complications
  • Intracranial Pressure
  • Intraocular Pressure
  • Middle Aged
  • Obesity / complications
  • Optic Disk / pathology*
  • Papilledema / etiology*
  • Papilledema / pathology
  • Trabeculectomy / adverse effects*
  • Visual Acuity
  • Visual Fields