Premium
Surgical outcomes of uveitic glaucoma
Author(s) -
CARRENO E,
PORTERO A,
VILLARON S,
HERRERAS JM,
MAQUET JA,
CALONGE M
Publication year - 2010
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.1755-3768.2010.3158.x
Subject(s) - medicine , uveitis , trabeculectomy , glaucoma , glaucoma surgery , phacoemulsification , intraocular pressure , ophthalmology , etiology , mitomycin c , retrospective cohort study , surgery , complication , visual acuity
Purpose Secondary glaucoma is a difficult and frequent complication of uveitis. The aim of this study is to describe the results of surgery in uveitic glaucoma. Methods Retrospective observational study. Clinical and surgical data from 27 cases of uveitic glaucoma that underwent glaucoma surgery over a period of 9 years were collected. Results The main diagnosis and etiology were anterior uveitis (66.7%) and herpes (33.3%) respectively. Trabeculectomy with mitomycin C was performed in 51.9% of the cases. An intraocular pressure lower than 16 mmHg and managed with less than two drugs was achieved in 48.15% of the cases. Higher risks of surgical failure were associated with intermediate uveitis, idiopathic uveitis, Fuchs’ heterochromic cyclitis, combined surgery with phacoemulsification, omission of mitomycin C, intraocular inflammation at surgery, and short time to glaucoma diagnosis and to surgery. Conclusion These results should be taken into account to improve surgical outcome in uveitic glaucoma.