title: Long-Term Outcomes Following Trabeculectomy Combined with 25-Gauge Transconjunctival Sutureless Vitrectomy in Uveitis Patients.
abstract: OBJECTIVE
  To evaluate the efficacy of combined trabeculectomy (TLE) and 25-gauge transconjunctival sutureless vitrectomy (TSV-25) for uveitis patients.
  
  
  METHODS
  Combined TSV-25/TLE was performed in 9 eyes of 6 patients with vitreoretinal complications and intractable glaucoma. Visual acuity, intraocular pressure (IOP), inflammatory control, and number of hypotensive medications were evaluated.
  
  
  RESULTS
  Visual acuity improved in 7 of 9 eyes and inflammation was controlled with a decreased oral anti-inflammatory agent dosage in all eyes. Mean IOP, which was 28.11 ± 4.83 mmHg preoperatively, was significantly reduced (15.77 ± 2.68 mmHg) 5 years after surgery (p = 0.008). The mean number of IOP-lowering medications was 3.33 ± 0.71 before surgery and 1.11 ± 0.92 5 years after surgery (p = 0.007). Two eyes required implant of an Ahmed drainage valve during the follow-up period.
  
  
  CONCLUSIONS
  Combined TSV-25/TLE can be effective in managing vitreoretinal complications and elevated IOP in uveitis patients.
authors.affiliation: Department of Ophthalmology, Seoul National University College of Medicine , Seoul , Korea .
authors.forename: Bo Hyuck
authors.initials: BH
authors.lastname: Kim
authors.forename: Joo Young
authors.initials: JY
authors.lastname: Shin
authors.forename: Min Joung
authors.initials: MJ
authors.lastname: Lee
authors.forename: Suk Hwan
authors.initials: SH
authors.lastname: Kim
authors.forename: Hyeong Gon
authors.initials: HG
authors.lastname: Yu
mesh_terms: D000328:Adult; D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D013997:Time Factors; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome; D014605:Uveitis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
keywords: 25-gauge vitrectomy; intraocular pressure; pars planar vitrectomy; trabeculectomy; uveitis