PURPOSE: To assess long-term efficacy and safety of deep sclerectomy (DS) in uveitic glaucoma. PATIENTS AND METHODS: Thirty-three consecutive eyes (21 patients) with uveitic glaucoma underwent DS with mitomycin C and implant. Goniopuncture (GP) was done for uncontrolled postoperative intraocular pressure (IOP). RESULTS: Mean (± SD) follow-up was 33.2 (± 19.8) months. IOP was reduced from a mean preoperative value of 37.2 to postoperative value of 14.7 mmHg (p < 0.0001). Complete success was achieved in 24/33 eyes (72.7%); qualified success was obtained in 7/33 eyes (21.2%). Neodymium:YAG GP was performed in 12 eyes. Postoperative complications included cataract progression in 9 eyes, transient hypotony in 6 eyes, shallow choroidal effusions in 4 eyes, hypotony with persistent maculopathy in 1 eye, hyphema in 1 eye, and decompression retinopathy in 1 eye. CONCLUSION: DS is safe and effective in patients with uveitic open-angle glaucoma. However, laser goniopuncture is frequently needed to improve the outcome.
PURPOSE: To assess long-term efficacy and safety of deep sclerectomy (DS) in uveitic glaucoma. PATIENTS AND METHODS: Thirty-three consecutive eyes (21 patients) with uveitic glaucoma underwent DS with mitomycin C and implant. Goniopuncture (GP) was done for uncontrolled postoperative intraocular pressure (IOP). RESULTS: Mean (± SD) follow-up was 33.2 (± 19.8) months. IOP was reduced from a mean preoperative value of 37.2 to postoperative value of 14.7 mmHg (p < 0.0001). Complete success was achieved in 24/33 eyes (72.7%); qualified success was obtained in 7/33 eyes (21.2%). Neodymium:YAG GP was performed in 12 eyes. Postoperative complications included cataract progression in 9 eyes, transient hypotony in 6 eyes, shallow choroidal effusions in 4 eyes, hypotony with persistent maculopathy in 1 eye, hyphema in 1 eye, and decompression retinopathy in 1 eye. CONCLUSION:DS is safe and effective in patients with uveitic open-angle glaucoma. However, laser goniopuncture is frequently needed to improve the outcome.
Entities:
Keywords:
Deep sclerectomy; glaucoma; goniopuncture; implant; uveitis
Authors: Nestor Ventura-Abreu; Joana Mendes-Pereira; Marta Pazos; Ma Jesús Muniesa-Royo; Andrea Gonzalez-Ventosa; Barbara Romero-Nuñez; Elena Milla Journal: J Curr Glaucoma Pract Date: 2021 May-Aug
Authors: Francisco J Muñoz-Negrete; Javier Moreno-Montañés; Paula Hernández-Martínez; Gema Rebolleda Journal: Biomed Res Int Date: 2015-10-19 Impact factor: 3.411