Outcomes of different management options for malignant glaucoma: a retrospective study
| Autor: | Veroniek Debrouwere, Joachim Van Calster, Werner Spileers, Thierry Zeyen, Peter Stalmans, Ingeborg Stalmans |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Iridectomy medicine.medical_specialty genetic structures medicine.medical_treatment Visual Acuity Vitrectomy Lasers Solid-State Malignant glaucoma Aqueous Humor Tonometry Ocular Cellular and Molecular Neuroscience Recurrence Humans Medicine Surgical treatment Antihypertensive Agents Intraocular Pressure Aged Retrospective Studies Aged 80 and over business.industry Ciliary Body Glaucoma Retrospective cohort study Middle Aged eye diseases Sensory Systems Aqueous misdirection Surgery Ophthalmology Treatment Outcome Filtering Surgery Female Laser Therapy sense organs business |
| Zdroj: | Graefe's Archive for Clinical and Experimental Ophthalmology. 250:131-141 |
| ISSN: | 1435-702X 0721-832X |
| Popis: | To assess the outcomes of the various medical and surgical treatment options for malignant glaucoma.Design Retrospective, comparative case series. Participants Twenty-four eyes of 21 patients with malignant glaucoma. Intervention Nine eyes were treated medically. Twenty-one eyes underwent surgery, 15 of which had the full vitrectomy-(phaco)-iridectomy-zonulectomy procedure. Main outcome measures Intraocular pressure (IOP), best-corrected visual acuity (BCVA) and number of glaucoma medications were measured.The relapse rate was 100% after medical therapy, 75% after a Yag laser capsulotomy and a hyaloidotomy, 75% after a conventional vitrectomy and 66% after an anterior vitrectomy in combination with an iridectomy-zonulectomy. All patients who underwent a full vitrectomy combined with an iridectomy and a zonulectomy (and phacoemulsification if phakic) had postoperative relief of malignant glaucoma without relapse within the follow-up period. After this vitrectomy-tunnel technique, the IOP ranged from 10 to 22 mmHg (mean 16 mmHg) after a mean follow-up of 61 days. Mean BCVA improved by 5 Early Treatment Diabetic Retinopathy Study (ETDRS) lines, and mean number of glaucoma medications decreased from two to one.Complete vitrectomy combined with iridectomy and zonulectomy (and phacoemulsification, if applicable) most successfully managed aqueous misdirection syndrome in our retrospective case series. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink