Glaucoma Tube Shunt Implantation Through the Ciliary Sulcus in Pseudophakic Eyes With High Risk of Corneal Decompensation
Autor: | Asher Weiner, Aaron D. Cohn, Mamtha Balasubramaniam, Adam J. Weiner |
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Rok vydání: | 2010 |
Předmět: |
Male
Pars plana Intraocular pressure medicine.medical_specialty Visual acuity Pseudophakia genetic structures medicine.medical_treatment Microscopy Acoustic Visual Acuity Glaucoma Corneal Diseases Corneal Transplantation Prosthesis Implantation Risk Factors Ophthalmology medicine Glaucoma surgery Humans Glaucoma Drainage Implants Intraocular Pressure Corneal transplantation Aged Retrospective Studies Aged 80 and over Lenses Intraocular Corneal Decompensation business.industry Ciliary Body Corneal Transplant Middle Aged medicine.disease eye diseases medicine.anatomical_structure Female sense organs medicine.symptom business |
Zdroj: | Journal of Glaucoma. 19:405-411 |
ISSN: | 1057-0829 |
DOI: | 10.1097/ijg.0b013e3181bdb52d |
Popis: | PURPOSE To summarize our clinical experience with implanting Baerveldt glaucoma tube shunts through the ciliary sulcus in eyes with a posterior chamber intraocular lens and shallow anterior chambers, corneal transplants, guttata or edema. PATIENTS AND METHODS A retrospective interventional nonrandomized noncomparative case series. Main outcome measure was postoperative corneal status. Secondary outcome measures included postoperative intraocular pressure (IOP), visual acuity and complications. RESULTS Thirty-six eyes of 32 patients were identified through chart review. Follow-up period was 21.8+/-16.6 months (mean+/-standard deviation, range: 4.0 to 58.5 mo). At final visit, all 23 preoperative clear native corneas and 6 of 7 corneal transplants remained clear. Thus, of the 30 preoperative clear corneas, only 1 decompensated. Preoperative IOP was 27.9+/-11.8 mm Hg (range: 12 to 59 mm Hg), reduced postoperatively to 10.1+/-3.9 mm Hg (range: 2 to 21 mm Hg, P=0.0001), a reduction of 58.2%+/-19.3% (range: 5.0% to 95.4%). Final IOP was >or=5 and |
Databáze: | OpenAIRE |
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