Glaucoma after macular hole surgery

Chen, Ching J.

doi:10.1016/s0161-6420(98)91470-1

Cited by 46 publications

(32 citation statements)

References 25 publications

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“…Cataract is the most frequent but the easiest to treat; chronically high IOP rarely occurs after macular surgery and endophthalmitis is very uncommon 14 17 18…”

Section: Discussionmentioning

confidence: 99%

Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases

Guillaubey

Malvitte

Lafontaine

et al. 2007

British Journal of Ophthalmology

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Aims: To evaluate the rate of retinal detachment after macular surgery. Methods: A retrospective non-randomised study of 634 macular surgery procedures was undertaken in two academic centres. Idiopathic macular hole (IMH) surgery (n = 272) and epiretinal membrane (ERM) surgery (n = 362) were performed between 2000 and 2003. We noted the anatomical and functional results of these procedures and we studied serious complications excluding cataract. Results: Minimum follow up was 1 year. No retinal detachment (RD) occurred in patients presenting with an intraoperative or preoperative successfully treated retinal break (RB). The rate of RD occurring after IMH surgery was higher than after the ERM surgical procedure (6.6% vs 2.5%, p = 0.02). The rate of RD was higher in patients presenting with stage 2 and 3 IMH than with stage 4 IMH. However, lens status as well as preoperatively treated RD did not influence the rate of RD after macular surgery. Conclusion: Retinal detachment remains the most common serious complication of macular surgery. Surgical detachment of the posterior vitreous face and associated peripheral retina anomaly seem to increase the rate of this complication. Careful examination of the peripheral retina is a key issue in preventing retinal detachment occurring after macular surgery.T he most frequently reported complications of macular surgery are cataract, high intraocular pressure (IOP), retinal vascular occlusion, intraocular inflammation, endophthalmitis, cystoid macular oedema, phototoxicity, macular holes, retinal breaks (RBs), retinal detachment (RD) and surgery failures. 1-5The number of operations on the macula has increased over the last 10 years and many authors have reported different procedures for the treatment of idiopathic macular hole (IMH) and epiretinal membrane (ERM). [6][7][8][9][10][11][12] For the most part, these studies aimed to specify the anatomical and functional results in order to determine the best procedure. The complications of these procedures were mentioned but few attempts have been made to discuss their risk factors.

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“…Cataract is the most frequent but the easiest to treat; chronically high IOP rarely occurs after macular surgery and endophthalmitis is very uncommon 14 17 18…”

Section: Discussionmentioning

confidence: 99%

Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases

Guillaubey

Malvitte

Lafontaine

et al. 2007

British Journal of Ophthalmology

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“…A great number of studies have demonstrated that an early rise in intraocular pressure (IOP) after vitrectomy may be attributed to intra-or postoperative processes such as inflammation, hemorrhages, use of viscoelastics or expanding gas bubble [3,4,6]. However, it is still very controversial whether or not there is an increased risk of late-onset open-angle glaucoma (OAG) in vitrectomized eyes.…”

Section: Discussionmentioning

confidence: 99%

“…With an increasing number of vitrectomies expected in the future, it is of great importance to evaluate the long-term complications of this surgical procedure. There is general agreement that an increase of intraocular pressure (IOP) may occur in the immediate postoperative period after vitrectomy [3][4][5]. There are various reasons for the postoperative rise in IOP, including scleral buckling procedures, lensectomy, laser photocoagulation [4,[6][7][8], the use of silicon oil or expanding gas [4,8], and intravitreal steroid injection [9], as well as postoperative hemorrhages and inflammation [6].…”

Section: Introductionmentioning

confidence: 99%

“…There are various reasons for the postoperative rise in IOP, including scleral buckling procedures, lensectomy, laser photocoagulation [4,[6][7][8], the use of silicon oil or expanding gas [4,8], and intravitreal steroid injection [9], as well as postoperative hemorrhages and inflammation [6]. This IOP elevation is mostly temporary, and well-controlled by IOP-lowering eye medications [3,4]. However, in certain instances, secondary glaucoma occurs in the late postoperative period after vitrectomy.…”

Section: Introductionmentioning

confidence: 99%

“…Angle-closure glaucoma may develop many months or years after placement of a scleral buckle, due to impaired venous drainage and anterior rotation of the ciliary body [8,11,12]. Recently, a few studies have also reported an increased risk of late-onset open-angle glaucoma (OAG) after vitrectomy, despite the absence of any known confounding factors in the glaucoma development [3,13,14]. Nonetheless, until now, there are no long-term studies which could provide a sufficient answer about the risk of OAG development after vitrectomy.…”

Section: Introductionmentioning

confidence: 99%

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Vitrectomy does not increase the risk of open-angle glaucoma or ocular hypertension—a 5-year follow-up

Brummeisl

Schaumberger

et al. 2010

Graefes Arch Clin Exp Ophthalmol

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Surgery for Idiopathic Full-Thickness Macular Hole

Ezra¹

2004

Arch Ophthalmol

173

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Objectives: To determine the benefits of idiopathic fullthickness macular hole (FTMH) surgery compared with observation and to evaluate the use of autologous serum as an intraoperative adjunct.Methods: A randomized clinical trial was performed to evaluate the anatomic and visual benefits of FTMH surgery for lesions of 9 months or less symptom duration and visual acuity of 20/60 or less. We compared surgery with natural history and determined whether use of intraoperative adjunctive autologous serum improves the surgical outcome. Eyes were randomized to (1) observation, (2) vitrectomy, or (3) vitrectomy plus serum and were followed for 24 months to assess anatomic status and visual function.Results: In total, 185 eyes of 174 patients were enrolled.

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Glaucoma after macular hole surgery

Cited by 46 publications

References 25 publications

Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases

Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases

Vitrectomy does not increase the risk of open-angle glaucoma or ocular hypertension—a 5-year follow-up

Surgery for Idiopathic Full-Thickness Macular Hole

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