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Titolo:
Long-term surgical outcomes of patients with glaucoma secondary to the iridocorneal endothelial syndrome
Autore:
Doe, EA; Budenz, DL; Gedde, SJ; Imami, NR;
Indirizzi:
Univ Miami, Sch Med, Bascom Palmer Eye Inst, Dept Ophthalmol, Miami, FL 33136 USA Univ Miami Miami FL USA 33136 Inst, Dept Ophthalmol, Miami, FL 33136 USA
Titolo Testata:
OPHTHALMOLOGY
fascicolo: 10, volume: 108, anno: 2001,
pagine: 1789 - 1795
SICI:
0161-6420(200110)108:10<1789:LSOOPW>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
ESSENTIAL IRIS ATROPHY; CHANDLERS SYNDROME; TRABECULECTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Budenz, DL Univ Miami, Sch Med, Bascom Palmer Eye Inst, Dept Ophthalmol, 900 NW 17th St, Miami, FL 33136 USA Univ Miami 900 NW 17th St Miami FL USA 33136 iami, FL 33136 USA
Citazione:
E.A. Doe et al., "Long-term surgical outcomes of patients with glaucoma secondary to the iridocorneal endothelial syndrome", OPHTHALMOL, 108(10), 2001, pp. 1789-1795

Abstract

Purpose. To report the long-term outcomes of patients with iridocorneal endothelial (ICE) syndrome who required surgery for glaucoma. Design: Retrospective, noncomparative case series. Participants: Twenty-six patients with ICE syndrome who underwent surgery for glaucoma at one institution between January 1987 and January 2000. Main Outcome Measures: Intraocular pressure (IOP), visual acuity, number of glaucoma medications, and further surgical interventions were measured. Results: Five eyes had a trabeculectomy with an antifibrotic agent alone, seven eyes had a trabeculectomy with an antifibrotic agent and a subsequentglaucoma drainage implant (GDI), and 14 eyes had a GDI alone. In eyes thatunderwent a trabeculectomy with an antifibrotic agent, preoperative IOP was reduced from a mean of 38.8 +/- 10.5 mmHg on 2.3 +/- 0.8 glaucoma medications to a mean of 11.8 +/- 4.3 mmHg on 1.2 +/- 1.4 medications at last follow-up after surgery (83.8 +/- 40.3 months). In eyes that underwent GDI surgery, preoperative IOP was reduced from a mean of 35.2 +/- 13.0 mmHg on 2.0 /- 1.3 glaucoma medications to a mean of 8.7 +/- 11.2 mmHg on 1.2 +/- 1.1 medications at last follow-up after surgery (50.5 +/- 40.7 months). Twenty-four eyes (92%) had an IOP less than 22 mmHg, and 22 eyes (85%) had visual acuity 20/400 or better at last follow-up (55.8 +/- 41.5 months). Mean number of glaucoma surgeries per patient over the follow-up period was 1.6 +/- 1.2. Trabeculectomy with antifibrotic agents had a survival of 73% at 1 year, 44% at 3 years, and 29% at 5 years. Glaucoma drainage implants had a survival of 71% at 1 year, 71% at 3 years, and 53% at 5 years. Conclusions: Glaucoma associated with ICE syndrome can be managed successfully surgically, although multiple procedures are often needed. Ophthalmology 2001;108:1789-1795 (C) 2001 by the American Academy of Ophthalmology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 05:12:14