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Long-Term Outcomes Following Trabeculectomy Combined with 25-Gauge Transconjunctival Sutureless Vitrectomy in Uveitis Patients.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2015 Jun; Vol. 23 (3), pp. 212-8. Date of Electronic Publication: 2014 Mar 21. - Publication Year :
- 2015
-
Abstract
- Purpose: To evaluate the efficacy of combined trabeculectomy (TLE) and 25-gauge transconjunctival sutureless vitrectomy (TSV-25) for uveitis patients.<br />Methods: Combined TSV-25/TLE was performed in 9 eyes of 6 patients with vitreoretinal complications and intractable glaucoma. Visual acuity, intraocular pressure (IOP), inflammatory control, and number of hypotensive medications were evaluated.<br />Results: Visual acuity improved in 7 of 9 eyes and inflammation was controlled with a decreased oral anti-inflammatory agent dosage in all eyes. Mean IOP, which was 28.11 ± 4.83 mmHg preoperatively, was significantly reduced (15.77 ± 2.68 mmHg) 5 years after surgery (p = 0.008). The mean number of IOP-lowering medications was 3.33 ± 0.71 before surgery and 1.11 ± 0.92 5 years after surgery (p = 0.007). Two eyes required implant of an Ahmed drainage valve during the follow-up period.<br />Conclusion: Combined TSV-25/TLE can be effective in managing vitreoretinal complications and elevated IOP in uveitis patients.
- Subjects :
- Adult
Female
Follow-Up Studies
Glaucoma complications
Glaucoma physiopathology
Humans
Intraocular Pressure
Male
Middle Aged
Retrospective Studies
Time Factors
Treatment Outcome
Uveitis complications
Uveitis physiopathology
Visual Acuity
Conjunctiva surgery
Glaucoma surgery
Suture Techniques
Trabeculectomy methods
Uveitis surgery
Vitrectomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 23
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 24654855
- Full Text :
- https://doi.org/10.3109/09273948.2014.892626