Results of modified CO2 laser-assisted sclerectomy monotherapy versus trabeculectomy combination therapy in the eyes with uveitic glaucoma

Xiao, Jing; Zhao, Chan; Zhang, Yang; Qu, Yi; Liang, Anyi; Zhang, Meifen; Cheng, Genyang

doi:10.1007/s10103-021-03339-5

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…With regards to postoperative complications, CLASS did not have any early complications such as hypotony, shallow AC or choroidal detachments. However, it was noted that 40% of uveitic glaucoma patients subsequently developed peripheral anterior synechiae, which needed sequential YAG laser gonioplasty [46 ▪ ].…”

Section: Other Surgical Optionsmentioning

confidence: 99%

“…Modified combined CO 2 laser-assisted deep scleral sclerectomy (CLASS) is a new form of deep sclerectomy and has shown to be effective in treating uveitic glaucoma patients. Xiao et al [46 ▪ ] report an 80% success rate with CLASS, which was defined as a controlled IOP of 6–21 mmHg with at least 20% reduction in IOP compared to baseline. With regards to postoperative complications, CLASS did not have any early complications such as hypotony, shallow AC or choroidal detachments.…”

Section: Other Surgical Optionsmentioning

confidence: 99%

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Uveitis and glaucoma: a look at present day surgical options

Seow

Lim

et al. 2023

Current Opinion in Ophthalmology

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Purpose of reviewTo review the various surgical options of management of medically refractory glaucoma in uveitic eyes.Recent findingsUveitic glaucoma is particularly challenging to manage. We look at the evidence for various surgical options, or the lack of, in the surgical management of medically refractory glaucoma in uveitis.SummaryConventional glaucoma filtration surgeries such as trabeculectomy and glaucoma drainage implants were more commonly described first line surgical options in the therapy of medically refractory uveitic glaucoma. However, with the introduction of newer implants and options of minimally invasive glaucoma surgeries, the choice of first line surgeries may now be possibly expanded to include other options. However, more research is required to evaluate the efficacy of the newer surgical options in the management of glaucoma in uveitis patients.

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Section: Other Surgical Optionsmentioning

confidence: 99%

Section: Other Surgical Optionsmentioning

confidence: 99%

Uveitis and glaucoma: a look at present day surgical options

Seow

Lim

et al. 2023

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

show abstract

Injectable hydrogels embedded with chitosan nanoparticles coated with hyaluronic acid for sequential release of dual drugs

Zhang,

Shi,

Wang

et al. 2024

International Journal of Biological Macromolecules

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CO2 laser-assisted sclerectomy surgery for secondary open-angle glaucoma after vitrectomy

Li,

Wang,

Zhu

et al. 2024

Front. Med.

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PurposeTo explore the efficiency and safety of carbon dioxide (CO2) laser-assisted sclerectomy surgery (CLASS) in Chinese patients with glaucoma secondary to vitrectomy.MethodsThis retrospective study consisted of 16 eyes from 16 patients with glaucoma secondary to vitrectomy who underwent CLASS and were followed up for 12 months. Main outcome measures included preoperative and postoperative intraocular pressure, best corrected visual acuity (BCVA), number of anti-glaucoma medications, and postoperative surgical success rate and complications.ResultsThe postoperative IOP and number of anti-glaucoma medications used at all follow-up time point were significantly lower than those preoperatively. The difference in BCVA was not significant before and after surgery. The main complicatios were peripheral anterior synechiae (PAS) and scleral reservoir reduction, which were controlled after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser, 2 (12.50%) patients underwent re-operation. The complete and total success rates at 12 months were 68.75% and 87.50%, respectively.ConclusionCLASS is a safe and effective procedure for Chinese patients with glaucoma secondary to vitrectomy. PAS and scleral reservoir reduction is a major contributor to postoperative IOP elevation, and trabecular minimally invasive perforation with the Nd:YAG laser is effective in lowering IOP and increasing scleral cistern volume.

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Results of modified CO2 laser-assisted sclerectomy monotherapy versus trabeculectomy combination therapy in the eyes with uveitic glaucoma

Cited by 3 publications

References 36 publications

Uveitis and glaucoma: a look at present day surgical options

Uveitis and glaucoma: a look at present day surgical options

Injectable hydrogels embedded with chitosan nanoparticles coated with hyaluronic acid for sequential release of dual drugs

CO2 laser-assisted sclerectomy surgery for secondary open-angle glaucoma after vitrectomy

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