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The reasons of unsuccessful antiglaucoma operations
Author(s) -
MILOJKO B
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.533.x
Subject(s) - medicine , optometry , ophthalmology
Purpose The study was to determinate the level excessive scarring in zone of antiglaucome operations. Methods This study 48 eyes of 46 consecutive patients with medically uncontrolled glaucoma after filtration surgery underwent reconstruction of filtration zone. IOP decompensation happened between 6 mount and 6 years after filtration surgery. Mean preoperative IOP was 35.7± 8.4 mm Hg. Results After reconstruction of filtration zone in 9 causes (18,7%) aqueous humor outflow started after revision filtration bleb, 23 causes (48%) after reconstruction scleral spit. In other causes we had to cut up zone of trabeculectomy hole. In 8 causes (16%) excessive scarring in zone of trebeculectomy hole was mean reason for IOP decompensation. Conclusion The mean reason of IOP decompensation after antiglaucoma operation is excessive scarring in zone of scleral spit (48%) and filtrations bleb (18,7%).