title: Long-term reduction of laser flare values after trabeculectomy but not after cyclodestructive procedures in uveitis patients.
abstract: The aim of this study was to examine long-term changes of laser flare (LF) after trabeculectomy (TE) and transscleral diode cyclophotocoagulation (TDCPC) in patients with uveitic secondary glaucoma. Retrospective, single-center analysis. Overall, 40 TE (mean follow-up 21.1 months) and 68 TDCPC (mean follow-up 21.8 months, P = 0.38) procedures were performed. The intraocular pressure (IOP) level was consistently lower in the TE group at the preoperative visit and at each follow-up visit, while IOP reduction was similar in both groups (P = 0.91). LF decreased from 59.4 photons/ms at baseline to 41.9 photons/ms in the TE group (P = 0.017) and remained unchanged in the TDCPC group (71.2 vs. 70.7 photons/ms, P = 0.84). No significant increase in the number of complications could be observed at the end of the postoperative follow-up, while best-corrected visual acuity drop and cataract formation was higher in the TE group. TE significantly reduced postoperative LF values. Higher LF values did not increase the development of new complications in this study, but an increased occurrence of cataract formation was seen in the TE group.
authors: Department of Ophthalmology, St. Franziskus-Hospital Muenster, Hohenzollernring 74, Muenster, Germany. carsten.heinz@uveitis-zentrum.de
authors: Carsten
authors: C
authors: Heinz
authors: Beatrix
authors: B
authors: Zurek-Imhoff
authors: Jörg
authors: J
authors: Koch
authors: Martin
authors: M
authors: Rösel
authors: Arnd
authors: A
authors: Heiligenhaus
mesh_terms: D000328:Adult; D002386:Cataract / Q000175:diagnosis / Q000209:etiology*; D002924:Ciliary Body / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D017075:Laser Coagulation / Q000009:adverse effects*; D008297:Male; D020127:Recovery of Function; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013997:Time Factors; D014130:Trabeculectomy / Q000009:adverse effects* / Q000379:methods; D014605:Uveitis / Q000150:complications / Q000601:surgery*; D014792:Visual Acuity; D055815:Young Adult