title: Aqueous tube-shunt implantation and pars plana vitrectomy in eyes with refractory glaucoma.
abstract: We reviewed the surgical outcome of 20 eyes of 20 consecutive patients who had undergone combined aqueous tube-shunt implantation and vitrectomy for complicated glaucoma associated with vitreoretinal disorders. After a mean follow-up of 10.39 +/- 5.43 months, visual acuity remained stable or improved in 13 patients (65%), and intraocular pressure was controlled (< 22 mm Hg) in 15 (75%). The most common complications were corneal edema (seven eyes) and choroidal effusion (three eyes). Combined tube-shunt implantation and pars plana vitrectomy may successfully control intraocular pressure and maintain preoperative visual acuity in refractory glaucoma associated with vitreoretinal disorders.
authors.affiliation: William and Anna Goldberg Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Philadelphia, Pennsylvania 19107.
authors.forename: S B
authors.initials: SB
authors.lastname: Gandham
authors.forename: V P
authors.initials: VP
authors.lastname: Costa
authors.forename: L J
authors.initials: LJ
authors.lastname: Katz
authors.forename: R P
authors.initials: RP
authors.lastname: Wilson
authors.forename: A
authors.initials: A
authors.lastname: Sivalingam
authors.forename: J
authors.initials: J
authors.lastname: Belmont
authors.forename: M
authors.initials: M
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001082:Aqueous Humor / Q000378:metabolism*; D002648:Child; D004322:Drainage; D005128:Eye Diseases / Q000150:complications / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery; D012826:Silicone Elastomers; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000601:surgery
chemical_list: D012826:Silicone Elastomers