title: Surgical outcomes of patients with iridocorneal endothelial syndrome: a case series.
abstract: The purpose of this study is to report the intermediate-term surgical outcomes of patients with iridocorneal endothelial syndrome-related glaucoma. The medical records of four patients (five eyes) surgery (Ahmed glaucoma valve implantation surgery and EX-PRESS mini shunt) were retrospectively reviewed. Median follow-up after glaucoma surgery was 24 (15-36) months. The preoperative intraocular pressure was significantly reduced from a median of 33 (22.5-36) mmHg on a median of 4 (4-5) glaucoma medications to a median of 12 (10.5-14.5) mmHg on a median of 2 (0-2) medications at last follow-up after surgery (p = 0.043 for IOP and p = 0.042 for glaucoma medications). Median preoperative visual acuity [0.016 (0.008-0.1)] did not change significantly when compared to median visual acuity at last follow-up [0.016 (0.004-0.5)] (p = 0.59). Intraocular pressure control in patients with iridocorneal endothelial syndrome is challenging and may require multiple operations and revisions. Some modifications during glaucoma drainage implant surgery and use of EX-PRESS mini shunt in certain cases could offer an advantage in these patients.
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey. ophserhat@hotmail.com.
authors: Serhat
authors: S
authors: Imamoglu
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey.
authors: Mehmet S
authors: MS
authors: Sevim
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey.
authors: Hatice Elvin
authors: HE
authors: Yıldız
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey.
authors: Ece Turan
authors: ET
authors: Vural
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey.
authors: Handan
authors: H
authors: Bardak
authors: Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey.
authors: Yavuz
authors: Y
authors: Bardak
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure; D057129:Iridocorneal Endothelial Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D014792:Visual Acuity
keywords: EX-PRESS mini shunt; Glaucoma; Iridocorneal endothelial syndrome