Outcome of Surgical Management of Glaucoma Following Complex Retinal Detachment Repair With Silicone Oil Tamponade: Drainage Implant Versus Cyclophotocoagulation
| Autor: | Rizwan Malik, Abdulaziz A Alshamrani, Abdullah Albahlal, Rajiv Khandekar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity genetic structures medicine.medical_treatment Glaucoma Vitrectomy macromolecular substances 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Refractory Ophthalmology medicine business.industry technology industry and agriculture medicine.disease eye diseases Silicone oil chemistry 030221 ophthalmology & optometry sense organs Tamponade Implant medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Glaucoma. 29:198-204 |
| ISSN: | 1057-0829 |
| Popis: | PReCIS:: Glaucoma drainage devices (GDDs) are effective for the management of silicone oil-induced glaucoma. Although cyclophotocoagulation (CPC) has the advantage of shorter operative time and repeatability, it carries a higher risk of failure, blindness, and phthisis. BACKGROUND/AIMS To compare the surgical outcome of GDD implantation and diode laser CPC in the management of refractory glaucoma following vitrectomy with silicone oil (SO) injection. MATERIALS AND METHODS In total, 56 eyes with refractory glaucoma after SO tamponade that underwent either CPC or GDD implantation were retrospectively evaluated. All patients underwent a complete ophthalmic examination and intraocular pressure (IOP) measurement at baseline and 1 day, 1 week, 1, 3, 6, and 12 months postoperatively. The rates of complete success and qualified success (for IOP between ≥5 and ≤21 mm Hg) were analyzed. RESULTS A total of 17 eyes underwent GDD implantation and 39 eyes underwent CPC. The preoperative IOP was 35.7±7.9 mm Hg and 27.8±8.4 mm Hg for the CPC and GDD groups, respectively (P=0.001), with a worse baseline visual acuity (P=0.01) and a higher proportion of SO-filled eyes in the CPC group (P |
| Databáze: | OpenAIRE |
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