Intraocular surgery in advanced glaucoma.

O'Connell, E. J.; Karseras, A G

doi:10.1136/bjo.60.2.124

Cited by 22 publications

(14 citation statements)

References 3 publications

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“…2,3,7 In this study, six eyes had short-term hypotony and one eye had long-term hypotony, however, none of them had 42 lines of deterioration in BCVA (decimal fraction) at 12 months after surgery. Slopes of FT, MTD all , MTD sup , MTD inf , MTD 4 , TD 29 , TD 30 , TD 39 , and TD 40 showed no significant correlation with any of the preoperative or postoperative factors.…”

Section: Discussionmentioning

confidence: 55%

“…2,3,7 If macular splitting is defined as the mean TD value of two adjacent test worse than À20 dB and that of the other two locations is better than À10 dB, then 5 of 27 eyes had macular splitting in the subject of this study, however, none of them had 42 lines of deterioration in BCVA (decimal fraction) at 12 months after surgery. Several studies have reported improvement in VF after trabeculectomy, 10,11 however, none of the VF parameters of HFA 10-2 program currently studied showed significant improvement while a few of them had positive slope, which were significantly different from 0 (Po0.05) without correction for multiplicity in four eyes ( Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…In patients with advanced glaucomatous VF damage undergoing filtration surgery, there is a risk of unpredictable and sudden postoperative deterioration of the central VF and VA, [1][2][3][4] but the actual frequency of this phenomenon is controversial. 1,2,[4][5][6][7][8] Postoperative hypotony, macular splitting, and a spike in intraocular pressure (IOP) just after surgery are reportedly risk factors for the postoperative loss of central VF including the fixation point. 2,3,7 Several reports have addressed this issue in advanced glaucoma, however, the study design was retrospective and VF was examined using Goldmann perimetry, which is not suitable for detailed examination of the central VF.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,[4][5][6][7][8] Postoperative hypotony, macular splitting, and a spike in intraocular pressure (IOP) just after surgery are reportedly risk factors for the postoperative loss of central VF including the fixation point. 2,3,7 Several reports have addressed this issue in advanced glaucoma, however, the study design was retrospective and VF was examined using Goldmann perimetry, which is not suitable for detailed examination of the central VF. [1][2][3][4][5][6][7] Only one prospective report studied 21 eyes with advanced stage glaucoma using the 30-2 program of the Humphrey VF analyzer (HFA; Carl Zeiss Meditec, Jena, Germany), with a postoperative follow-up of 3 months.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,7 Several reports have addressed this issue in advanced glaucoma, however, the study design was retrospective and VF was examined using Goldmann perimetry, which is not suitable for detailed examination of the central VF. [1][2][3][4][5][6][7] Only one prospective report studied 21 eyes with advanced stage glaucoma using the 30-2 program of the Humphrey VF analyzer (HFA; Carl Zeiss Meditec, Jena, Germany), with a postoperative follow-up of 3 months. 8 Analysis of the central VF with the 10-2 program and a longer follow-up period should provide more detailed information about the effects of surgical IOP reduction on the remaining central VF in eyes with the advanced stage of glaucoma, but there have been no such prospective studies.…”

Section: Introductionmentioning

confidence: 99%

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Central 10-degree visual field change following trabeculectomy in advanced open-angle glaucoma

Fujishiro

Mayama

Aihara

et al. 2011

Eye

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Purpose To prospectively examine changes in the central visual field (VF) in patients with advanced open-angle glaucoma (OAG) with advanced late stage after trabeculectomy for 12 months. Design Prospective interventional case series. Methods In all, 27 eyes of 27 OAG patients at a single center with a best-corrected visual acuity (BCVA) of Z40/200 and a mean total deviation of test locations of the 10-2 program of the Humphrey VF analyzer of rÀ20 dB preoperatively were enrolled. Intraocular pressure (IOP), VF parameters of the 10-2 program, and BCVA were examined for 12 months after trabeculectomy with mitomycin C. Slopes of VF parameters and their correlation with presumed risk factors were studied. Results IOP decreased from 19.7 ± 5.8 to 9.7 ± 2.6 mm Hg (Po0.001) over postoperative 1 year. The slopes of all VF parameters did not significantly differ from zero (P40.33), and none of the presumed factors significantly correlated with the slopes of those parameters (P40.14). There were two eyes (7%) and one eye (4%) with Z2 lines of deterioration in BCVA (decimal fraction) at 1 and 12 months, respectively, after surgery with no apparent causes. Conclusions Trabeculectomy resulted in little change in the central 10-degree VF, but significant decrease in BCVA without apparent causes might occur approximately 5% of the cases.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Central 10-degree visual field change following trabeculectomy in advanced open-angle glaucoma

Fujishiro

Mayama

Aihara

et al. 2011

Eye

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Severe Loss of Central Vision in Patients With Advanced Glaucoma Undergoing Trabeculectomy

Law¹

2007

Arch Ophthalmol

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To evaluate the visual outcomes in patients with advanced visual field (VF) loss undergoing trabeculectomy with mitomycin C. Methods: The records of patients with severe preoperative VF defects undergoing trabeculectomy from June 1, 1998, through October 31, 2005, were retrospectively reviewed. Severe loss of central vision was defined as visual acuity (VA) of 20/200 or less in the affected eye, counting fingers or less if preoperative VA was less than 20/200, or more than a 4-line reduction in Snellen VA. Results: Central vision loss occurred in 7 of 117 patients (eyes) (6%) because of hypotony maculopathy (3 cases), uncontrolled elevated intraocular pressures (2 cases), posterior subcapsular cataract increase (1 case), and inflammatory reaction (1 case). A statistically sig

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Procedural Treatments: Surgery in End-Stage Glaucoma

Topouzis

2009

Pearls of Glaucoma Management

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Intraocular surgery in advanced glaucoma.

Cited by 22 publications

References 3 publications

Central 10-degree visual field change following trabeculectomy in advanced open-angle glaucoma

Central 10-degree visual field change following trabeculectomy in advanced open-angle glaucoma

Severe Loss of Central Vision in Patients With Advanced Glaucoma Undergoing Trabeculectomy

Procedural Treatments: Surgery in End-Stage Glaucoma

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