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Titolo:
Transscleral suture fixation of posterior chamber lenses combined with trabeculectomy
Autore:
Shin, DH; Birt, CM; OGrady, JM; Kim, C; Juzych, MS; Lemon, LC; Reed, SY; Eliassi-Rad, B;
Indirizzi:
Wayne State Univ, Sch Med, Kresge Eye Inst, Detroit, MI 48201 USA Wayne State Univ Detroit MI USA 48201 sge Eye Inst, Detroit, MI 48201 USA Univ Toronto, Sunnybrook & Womens Coll Hlth Sci Ctr, Toronto, ON, Canada Univ Toronto Toronto ON Canada ns Coll Hlth Sci Ctr, Toronto, ON, Canada
Titolo Testata:
OPHTHALMOLOGY
fascicolo: 5, volume: 108, anno: 2001,
pagine: 919 - 929
SICI:
0161-6420(200105)108:5<919:TSFOPC>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
GLAUCOMA TRIPLE PROCEDURE; POSSIBLE CONTRIBUTING FACTOR; TENONS CAPSULE FIBROBLASTS; FILTRATION SURGERY SUCCESS; INTRAOCULAR-LENS; PENETRATING KERATOPLASTY; MITOMYCIN-C; ADJUNCTIVE MITOMYCIN; PROGNOSTIC FACTORS; ZONULAR SUPPORT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Shin, DH Wayne State Univ, Sch Med, Kresge Eye Inst, 4717 St Antoine Blvd,Detroit,MI 48201 USA Wayne State Univ 4717 St Antoine Blvd Detroit MI USA 48201 01 USA
Citazione:
D.H. Shin et al., "Transscleral suture fixation of posterior chamber lenses combined with trabeculectomy", OPHTHALMOL, 108(5), 2001, pp. 919-929

Abstract

Objective: To evaluate the outcome of transscleral suture-fixated posterior chamber intraocular lens (PCIOL) implantation in glaucoma patients when combined with a trabeculectomy. Design: A retrospective study of 56 consecutive glaucoma patients with a minimum follow-up of 6 months after transscleral suture-fixated PCIOL implantation combined with trabeculectomy. Setting: Patients were drawn from the clinical glaucoma practice of the Kresge Eye Institute, Detroit, Michigan. Patients: Fifty-six eyes of 56 consecutive chronic glaucoma patients who had undergone transscleral suture-fixated PCIOL implantation in combination with a trabeculectomy were included in the analysis. Results: The mean follow-up time was 38.5 +/- 19.1 months. Mean intraocular pressure (IOP) was significantly reduced, from 22.9 +/- 10.9 mmHg before surgery to 16.7 +/- 6.7 mmHg at the last follow-up visit (P = 0.0005), withthe mean number of medications used also significantly decreased, from 2.3+/- 0.9 to 1.9 +/- 0.9 (P = 0.0002). Postoperative IOP control to 21 mmHg or less was achieved or maintained in 84% of patients. Visual acuity improved or remained stable within two Snellen lines of the preoperative level in39 eyes (70%) and within three Snellen lines in 45 eyes (80%) at the last follow-up visit. Overall, 46% to 68% of the patients had both stable visualacuity and satisfactory pressure control at the last postoperative visit, depending on criteria of varying stringency. However, 19 eyes (34%) required one or more additional surgical interventions for pressure control. Patients with anterior chamber intraocular lens (ACIOL) complications, diabetes mellitus, or a preoperative IOP level of more than 21 mmHg on maximum tolerated medications were especially prone to requiring additional surgical interventions. Conclusions: We conclude that transscleral suture-fixated PCIOL implantation can be combined successfully with a trabeculectomy and can be useful in glaucoma patients in need of both visual rehabilitation and IOP control. However, patients with ACIOL complications, diabetes, or preoperative IOP of more than 21 mmHg on maximum tolerated medications were prone to requiring additional surgical interventions. Ophthalmology 2001; 108:919-929 (C) 2001by the American Academy of Ophthalmology.

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Documento generato il 27/11/20 alle ore 13:38:27