The Risk of Primary Open-Angle Glaucoma Following Vitreoretinal Surgery—A Population-based Study

Mansukhani, Sasha A.; Barkmeier, Andrew J.; Bakri, Sophie J.; Iezzi, Raymond; Pulido, José S.; Khanna, Cheryl L.; Bennett, Jeffrey R.; Hodge, David O.; Sit, Arthur J.

doi:10.1016/j.ajo.2018.06.010

Cited by 24 publications

(9 citation statements)

References 25 publications

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“…A significant, common complication of PPV is a repeated rise in IOP above the normal limit, i.e., 21 mmHg. The risk factors include, among others, postoperative infection, use of gas as endotamponade, excessive or incorrectly directed laser coagulation and transient cystoid macular edema [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Effectiveness of Glaucoma Treatment Using MicroPulse Transscleral Cyclophotocoagulation in Patients with Glaucoma Who Have Previously Undergone Vitreoretinal Surgery

Kuciel-Polczak¹,

Helemejko²,

Dobrowolski

et al. 2022

Ophthalmol Ther

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Section: Discussionmentioning

confidence: 99%

Assessment of the Effectiveness of Glaucoma Treatment Using MicroPulse Transscleral Cyclophotocoagulation in Patients with Glaucoma Who Have Previously Undergone Vitreoretinal Surgery

Kuciel-Polczak¹,

Helemejko²,

Dobrowolski

et al. 2022

Ophthalmol Ther

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“…No differences were found between the preoperative visual acuity and the postoperative visual acuities or any differences in the postoperative visual acuities when analyzed by single surgery success, although the eyes with single surgery success tended to have better final visual acuity. It is also known that PPVs further increase the risk of glaucoma 20 and could potentiate further visual acuity or visual field loss. The risk of RRD after cataract surgery is well established, with a reported 10-year prevalence between 0.36% and 2.9%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Characteristics, and Outcomes of Rhegmatogenous Retinal Detachment in Eyes With Trabeculectomy or Glaucoma Drainage Devices

Starr

Huang

Wong

et al. 2022

Retina

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Purpose: To describe the prevalence, management, and outcomes of rhegmatogenous retinal detachment (RRD) after incisional glaucoma filtering surgery.Methods: All patients with a history of trabeculectomy or glaucoma drainage device surgery who were subsequently diagnosed with an RRD from January 1, 2016, to January 1, 2021, at the Wills Eye Hospital were identified.Results: Forty-six eyes met the inclusion criteria. The mean age was 60.7 ± 19.6 years, and 15 patients (32.6%) were female. Of all eyes, 34 (73.9%) were diagnosed with primary open-angle glaucoma. The mean time from most recent incisional glaucoma surgery to RRD diagnosis was 1,133 ± 1,644 days. There were 19 eyes (41.3%) with preoperative proliferative vitreoretinopathy (9 eyes [19.6%] with Grade C proliferative vitreoretinopathy) and 35 eyes (76.1%) had macula-off RRD at the time of presentation. At RRD presentation, 4 eyes (8.7%) had concomitant endophthalmitis, 5 (10.9%) had concurrent choroidal detachment, and 2 (4.7%) had concurrent vitreous hemorrhage. Primary vitrectomy was performed in most (91.3%) cases. Silicone oil tamponade was often required (71.1%). The single surgery success rate was 65.2% (30 of 46). The mean preoperative logarithm of the minimum angle of resolution visual acuity was 1.72 ± 0.78 (Snellen acuity 20/1,050), and the mean final postoperative logarithm of the minimum angle of resolution was 1.59 ± 0.89 (20/ 778, P = 0.2853). Of glaucoma surgeries performed, the 5-year prevalence of RRD was 0.71% (26 of 3,664, 95% Poisson confidence interval 0.48%-1.04%). Conclusion:The 5-year prevalence of RRDs after trabeculectomy or glaucoma drainage device was 0.71%. Most patients presented with macula-involving detachments, often with proliferative vitreoretinopathy. Anatomical and visual outcomes were poor.

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“…Vitrectomy offers some advantages such as easy access to intermediate retinal breaks and greater familiarity with this technique compared with SB [ 1 , 4 ]. However, PPV is known to cause cataract progression and may cause several other complications such as glaucoma (8.9%) [ 17 ], choroidal hemorrhage (0.8%) [ 18 ], diplopia/EOM dysfunction (0.5%–7%) [ 6 , 9 ], cataract (70%) [ 9 ], macular pucker (9%) [ 7 ], postoperative PVR (6%–18%) [ 6 , 7 ], and iatrogenic retinal breaks (6%–15.7%) [ 7 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break

Bonfiglio

Toro

Longo

et al. 2018

Journal of Ophthalmology

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Purpose To evaluate the effects of a modification of the traditional 25-gauge pars plana vitrectomy technique in the treatment of uncomplicated macula-on rhegmatogenous retinal detachment (RRD) with intermediate retinal break(s) and marked vitreous traction in the phakic eye. Methods Prospective, noncomparative, and interventional case series. All consecutive phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, with at least 1 year of postoperative follow-up, were enrolled. In all eyes, “localized 25-gauge vitrectomy” under air infusion with localized removal of the vitreous surrounding the retinal break(s), in association with laser photocoagulation and air tamponade, was performed. The primary end point was the rate of primary retinal attachment. Secondary end points were cataract progression and assessed by digital Scheimpflug lens photography (mean change of nuclear density units) and the rate of complications. Results Thirty-two phakic eyes were included in the final analysis. At 12 months, the primary outcome of anatomical success was achieved in 94% of eyes. The mean nuclear density units did not change significantly at any time point during the follow-up. After localized vitrectomy, one eye developed an epiretinal membrane, and one eye developed cystoid macular edema; no other significant complications were reported. Conclusions “Localized vitrectomy” has a high anatomical success rate in phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, without causing progression of cataract.

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The Risk of Primary Open-Angle Glaucoma Following Vitreoretinal Surgery—A Population-based Study

Abstract: The risk of POAG is increased after vitrectomy.

Cited by 24 publications

References 25 publications

Assessment of the Effectiveness of Glaucoma Treatment Using MicroPulse Transscleral Cyclophotocoagulation in Patients with Glaucoma Who Have Previously Undergone Vitreoretinal Surgery

Assessment of the Effectiveness of Glaucoma Treatment Using MicroPulse Transscleral Cyclophotocoagulation in Patients with Glaucoma Who Have Previously Undergone Vitreoretinal Surgery

Prevalence, Characteristics, and Outcomes of Rhegmatogenous Retinal Detachment in Eyes With Trabeculectomy or Glaucoma Drainage Devices

Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break

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