Trabeculectomy with anterior vitrectomy in aphakic and pseudophakic glaucoma.
In 15 eyes with uncontrolled aphakic/pseudophakic glaucoma, trabeculectomy with anterior vitrectomy was performed. Mean pre-operative intraocular pressure (IOP) was 38.2 +/- 6.7 mmHg and mean post operative IOP was 19.3 +/- 5.2 mmHg after follow-up of 11.2 2 months. The anterior chamber maintainer technique during vitrectomy has been employed. Success rate (IOP less than 21 mmHg with or without glaucoma medication) was 80%. Visual acuity remained unchanged in 4 eyes, improved in 5 eyes and worsened in 6 eyes. Postoperative complications included: two eyes with cystoid macular edema, two eyes with choroidal effusion and prolonged hypotony, one eye with self-absorbing vitreous hemorrhage and one eye with some opacification of the corneal graft. In aphakic/pseudophakic glaucoma where vitreous is filling the anterior chamber--a combined trabeculectomy with anterior vitrectomy is indicated for removal of vitreous from the sclerostomy site with better aqueous flow through the sclerostomy and adequate control of IOP.
Melamed
S
S
Goldschleger Eye Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Neumann
D
D
Blumenthal
M
M
D000328:Adult; D000368:Aged; D000867:Anterior Chamber / Q000601:surgery*; D001035:Aphakia / Q000601:surgery*; D002387:Cataract Extraction; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014130:Trabeculectomy / Q000009:adverse effects; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects