Early Postoperative Intraocular Pressure Stability After Combined 23-Gauge Sutureless Vitrectomy and Cataract Surgery in Patients With Proliferative Diabetic Retinopathy

Lee, Jong Yeon; Jeong, Hoon Seok; Lee, Dae Yeong; Sohn, Hee Jin; Nam, Dong Heun

doi:10.1097/iae.0b013e3182475ad6

Cited by 22 publications

(17 citation statements)

References 38 publications

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“…It has been well known that choroidal detachment occurs in hypotonic eyes after intraocular surgeries including trabeculectomy 10,11. In our present study, IOPs after trabeculectomy were significantly lower in the choroidal detachment group than the nonchoroidal detachment group.…”

Section: Discussionsupporting

confidence: 54%

Risk factors for choroidal detachment after trabeculectomy with mitomycin C

Haga¹,

Inatani²,

Shobayashi³

et al. 2013

OPTH

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PurposeTo evaluate the risk factors for choroidal detachment after trabeculectomy with mitomycin C (MMC).Materials and methodsWe retrospectively evaluated 420 patients (420 eyes) with glaucoma who underwent trabeculectomy with MMC between June 1, 2005 and December 31, 2010 at Kumamoto University Hospital, Japan. Choroidal detachment after trabeculectomy was defined as a solid-appearing elevation of the retina and choroid. Logistic multivariable analysis was applied to determine the risk factors for choroidal detachment. The following factors were assessed: gender, age, subtypes of glaucoma, eye laterality, history of previous cataract surgery, preoperative intraocular pressure (IOP; mean of three Goldmann applanation readings recorded on different days), postoperative IOP (mean of seven Goldmann applanation readings recorded on 7 consecutive days after trabeculectomy), and postoperative laser suture lysis.ResultsOf the 420 patients, 79 (18.8%) revealed choroidal detachments. The mean period between trabeculectomy and choroidal detachment was 6.1 ± 3.6 days. The mean IOP at the time of the choroidal detachment was 5.5 ± 3.6 mmHg. Age (odds ratio [OR] = 1.028/year, P = 0.0068) and postoperative IOP (OR = 0.887/mmHg, P < 0.0001) were risk factors for choroidal detachment after trabeculectomy. The subgroup analysis for eyes with open angle glaucoma (201 patients) revealed that age (OR = 1.060/year, P = 0.0040) and postoperative IOP (OR = 0.898/mmHg, P = 0.0110) were significant risk factors for choroidal detachment after trabeculectomy with MMC.ConclusionAmong glaucoma patients, older age and lower postoperative IOP are risk factors for choroidal detachment after trabeculectomy with MMC. In eyes with open angle glaucoma, older age and lower postoperative IOP are risk factors for choroidal detachment after trabeculectomy with MMC.

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Section: Discussionsupporting

confidence: 54%

Risk factors for choroidal detachment after trabeculectomy with mitomycin C

Haga¹,

Inatani²,

Shobayashi³

et al. 2013

OPTH

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“…[5051] Due to improved instrumentation, currently, smaller gauge transconjuctival PPV is being favored compared to 20 gauge PPV with faster recovery in patients with PDR [Figures 1–4]. [51525354] Issa et al . [55] compared the results of 20 and 23 gauge transconjunctival vitrectomy for PDR.…”

Section: Techniques Of Ppv In Diabetic Retinopathymentioning

confidence: 99%

Surgical management of diabetic retinopathy

Gupta

Arévalo

2013

Middle East Afr J Ophthalmol

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Surgery for late complications of proliferative diabetic retinopathy remains the cornerstone of management even in patients who have received optimal laser photocoagulation and medical therapy. With improvisation in the surgical techniques and development of micro-incision surgical techniques for vitrectomy, the indications for surgical intervention are expanding to include diabetic macular edema with a greater number of patients undergoing early intervention. This review describes the current indications, surgical techniques, adjunctive anti-vascular endothelial growth factor therapy, surgical outcomes, and postoperative complications of pars plana vitrectomy for proliferative diabetic retinopathy and macular edema.

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“…In sutureless diabetic vitrectomy studies, however, the incidence of early postoperative hypotony was lower in combined surgery than in vitrectomy alone. 2,3 We suppose that sclerotomy wound leak and related endophthalmitis may be less in the combined surgery. It is more important in the early postoperative period before the conjunctival wound is completely healed.…”

Section: To the Editormentioning

confidence: 99%