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Pseudoexfoliation trabeculectomy

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https://read.qxmd.com/read/30851807/long-term-effectiveness-and-safety-of-trabecular-microbypass-stent-implantation-with-cataract-surgery-in-patients-with-glaucoma-or-ocular-hypertension-five-year-outcomes
#1
Tobias H Neuhann, Dana M Hornbeak, Raphael T Neuhann, Jane Ellen Giamporcaro
PURPOSE: To assess 5-year outcomes after implantation of 1 trabecular microbypass stent during cataract surgery in eyes with open-angle glaucoma (OAG) or ocular hypertension. SETTING: Private ophthalmology clinic (AaM Augenklinik am Marienplatz, Munich, Germany). DESIGN: Prospective nonrandomized consecutive case series. METHODS: One trabecular microbypass stent was implanted after phacoemulsification cataract surgery by one surgeon over 4 years...
March 2019: Journal of Cataract and Refractive Surgery
https://read.qxmd.com/read/30773043/penetrating-deep-sclerectomy-in-primary-open-angle-and-pseudoexfoliative-glaucoma
#2
Vassilios Kozobolis, Eleni Kalogianni, Haris Sideroudi
PURPOSE: To evaluate the outcomes of a new antiglaucoma surgical method, a modification of the standard deep sclerectomy, the penetrating deep sclerectomy. PARTICIPANTS: Patients with medically uncontrolled primary open-angle glaucoma or pseudoexfoliative glaucoma were prospectively, in a consecutive way, enrolled in this study. METHODS: The study was conducted in Glaucoma Unit, Department of Ophthalmology, University of Hospital of Alexandroupolis, Greece, in 29 eyes of 29 patients...
February 17, 2019: European Journal of Ophthalmology
https://read.qxmd.com/read/30739156/long-term-follow-up-of-intraocular-pressure-and-pressure-lowering-medication-in-patients-after-ab-interno-trabeculectomy-with-the-trabectome
#3
Markus Avar, Jens F Jordan, Matthias Neuburger, Diana Engesser, Jan Lübke, Alexandra Anton, Thomas Wecker
BACKGROUND: The minimally invasive ab-interno trabeculectomy (AIT) via electro-ablation with the Trabectome has been on the European market since 2009. Many studies have proven the safety and efficacy of the procedure. Up until now, studies investigating the long-term effect of AIT have been sparse. In this study, we present long-term results of AIT in patients with primary and secondary open-angle glaucoma. METHODS: In a retrospective monocentric study, the data of all the patients having undergone the procedure in 2010 at our institution were recorded...
February 9, 2019: Graefe's Archive for Clinical and Experimental Ophthalmology
https://read.qxmd.com/read/30672473/retrospective-study-on-outcomes-of-terminal-chop-technique-of-nuclear-fragmentation-in-phacoemulsification-and-combined-surgery-an-observational-study
#4
Arvind K Morya, Sahil Bhandari, Anushree Naidu
Purpose: Terminal chop, a new technique of nuclear segmentation, has been recently described in literature. The technique is considered to be a safe and effective option. Methods: We did a retrospective study to evaluate the outcome of terminal chop. Patients operated for terminal chop (phacoemulsification with or without trabeculectomy) from October 2016 to July 2018 were included in the study. Results: In all, 933 patients were included in the study...
February 2019: Indian Journal of Ophthalmology
https://read.qxmd.com/read/29892726/a-case-of-recurrent-hypotony-and-choroidal-effusion-in-a-patient-with-previous-filtration-surgery
#5
Palak M Majmudar, Felina Kremer, Nisha Chadha
To report a case of recurrent hypotony and choroidal effusion following trabeculectomy. OBSERVATIONS: A 70 year old male with advanced pseudoexfoliation glaucoma in both eyes underwent trabeculectomy in the left eye. Initially intraocular pressure (IOP) was controlled without topical therapy, but dorzolamide-timolol and brimonidine were added when IOP elevated above target. Aqueous suppressant glaucoma medications were thought to cause three episodes of hypotony resolving with discontinuation of these medications...
September 2018: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/29696466/initial-trabeculectomy-with-5-fluorouracil-with-or-without-subconjunctival-bevacizumab-in-the-management-of-pseudoexfoliation-glaucoma
#6
Ufuk Elgin, Emine Sen, Salih Çolak, Pelin Yılmazbas
PURPOSE: To investigate the outcomes of trabeculectomy with 5-fluorouracil (5-FU) with or without subconjunctival bevacizumab in the surgical management of pseudoexfoliation glaucoma (PXG). METHODS: This retrospective study consisted of 49 cases with PXG who underwent initial trabeculectomy with 5-FU. The cases were divided into two age- and sex-matched groups. In 23 cases, subconjunctival bevacizumab was injected (1.25 mg/0.05 mL) at the end of the surgery and in 26 of them the surgery was performed without bevacizumab...
April 25, 2018: International Ophthalmology
https://read.qxmd.com/read/29592533/istent-inject-as-a-reasonable-alternative-procedure-following-failed-trabeculectomy
#7
Anja-Maria Davids, Milena Pahlitzsch, Alexander Boeker, Necip Torun, Eckart Bertelmann, Anna-Karina Maier-Wenzel, Annette Hager, Johannes Gonnermann, Matthias Klamann
PURPOSE: The aim of this study is to assess the intraocular pressure lowering effect and the performance of the glaucoma therapy of the iStent inject in glaucoma patients with uncontrolled intraocular pressure after failed trabeculectomy. METHODS: In this retrospective study, iStent inject implantation (Glaukos Corporation, Laguna Hills, CA, USA) was performed in 22 eyes of 21 subjects suffering from glaucoma (n = 18 primary open angle glaucoma, n = 3 pseudoexfoliation glaucoma, and n = 1 for secondary glaucoma) with an intraocular pressure above target pressure after failed trabeculectomy (mean = 9...
November 2018: European Journal of Ophthalmology
https://read.qxmd.com/read/29468206/severe-visual-loss-and-recovery-post-trabeculectomy-a-case-report
#8
Sana' Muhsen
Purpose: Glaucoma is a progressive optic neuropathy and a leading cause of blindness. Neural losses from glaucoma are irreversible, and so the aim of glaucoma treatment is to slow progression and minimize the risk of further damage. Visual loss post filtration surgery in patients with advanced glaucomatous optic nerve damage is a rare but dreaded complication. Functional improvement is not expected. We report the case of a patient who experienced a significant loss of vision following glaucoma surgery that was followed by late visual recovery...
June 2018: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/29375993/comparison-of-long-term-results-of-trabeculectomy-to-treat-pseudoexfoliative-glaucoma-and-primary-open-angle-glaucoma
#9
Vuslat Pelitli Gürlü, Hande Güçlü, Altan Özal, Ömer Benian, Levent Alimgil
AIM: To compare the long term outcome of trabeculectomy in patients with pseudoexfoliative glaucoma (PEG) and primary open angle glaucoma (POAG) in terms of surgical success. METHODS: The success of the trabeculectomy was evaluated by three criteria. Criterion A: intraocular pressure (IOP) ≤21 mm Hg and decrease in IOP ≥20%; Criterion B: IOP ≤18 mm Hg and decrease in IOP ≥30%; Criterion C: IOP ≤15 mm Hg and decrease in IOP ≥50%. Patients that met these criteria without medical treatment were considered to be completely successful, while those that met these criteria with medical treatment were considered partially successful...
2018: International Journal of Ophthalmology
https://read.qxmd.com/read/29290014/three-year-results-of-ab-interno-trabeculectomy-trabectome-berlin-study-group
#10
Milena Pahlitzsch, Anja M Davids, Malte Zorn, Necip Torun, Sibylle Winterhalter, Anna-Karina B Maier, Matthias K Klamann, Eckart Bertelmann
PURPOSE: To assess the long-term outcome of Trabectome surgery in the treatment of primary open angle glaucoma (POAG) and pseudoexfoliative glaucoma (PEX): 3-year results. METHODS: Trabectome surgery (NeoMedix, Tustin, CA, USA) was performed in 268 POAG patients (women 57.46%, men 42.54%, age 72.35 ± 9.63 years) and 98 PEX glaucoma patients (women 58.16%, men 41.84%, age 73.42 ± 8.54 years), and uncontrolled intraocular pressure (IOP). Parameters were examined preoperatively, 1 day, 6 weeks, 3, 6, 12, 24 and 36 months post surgery...
March 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
https://read.qxmd.com/read/28984715/suprachoroidal-bleeding-after-xen-gel-implantation
#11
Verena Prokosch-Willing, Urs Vossmerbaeumer, Esther Hoffmann, Norbert Pfeiffer
PURPOSE: To report for the first time a clinical case of suprachoroidal bleeding after XEN45 gel implantation. OBSERVATIONS: A 84-year old female patient with pseudoexfoliation glaucoma with intraocular pressure (IOP) (20 mm Hg) above target despite maximal IOP-lowering therapy was scheduled for XEN45 gel implantation. The XEN45 gel implantation went without complications and was properly placed in the anterior chamber and beneath the conjunctiva. On the first postoperative day, the patient presented with an IOP of 4 mm Hg, a functioning bleb and a deep anterior chamber...
December 2017: Journal of Glaucoma
https://read.qxmd.com/read/28979095/comparison-of-intraocular-pressure-fluctuations-before-and-after-ab-interno-trabeculectomy-in-pseudoexfoliation-glaucoma-patients
#12
Naoki Tojo, Shinya Abe, Mari Miyakoshi, Atsushi Hayashi
PURPOSE: Ab interno trabeculectomy (AIT) with the Trabectome has been shown to reduce intraocular pressure (IOP) in eyes with pseudoexfoliation (PEX) glaucoma. Here, we examined the change of IOP fluctuations before and after only AIT or AIT with cataract surgery in PEX patients using the contact lens sensor Triggerfish® . METHODS: This was a prospective open-label study. Twenty-four consecutive patients with PEX glaucoma were included. Twelve patients underwent cataract surgery and AIT (triple-surgery group), and 12 patients underwent only AIT (single-surgery group)...
2017: Clinical Ophthalmology
https://read.qxmd.com/read/28967074/palladium-103-plaque-radiation-therapy-for-ciliary-body-melanoma-through-a-functioning-glaucoma-filtering-bleb
#13
Arif H K Pathan, Alexander Barash, Lawrence B Tena, Paul T Finger
PURPOSE: To provide a clinical description of the long-term outcome of a 103 Pd plaque-irradiated ciliary body melanoma with extrascleral extension while attempting to preserve a subadjacent glaucoma filtering bleb. METHODS: A 75-year-old woman with pseudoexfoliative glaucoma for 17 years, 16 years status post argon laser trabeculoplasty, and 15 years status post trabeculectomy in the left eye, was diagnosed with an ipsilateral ciliary body melanoma with visible extrascleral extension...
January 2018: European Journal of Ophthalmology
https://read.qxmd.com/read/28858961/short-term-results-of-trabeculectomy-using-adjunctive-intracameral-bevacizumab-versus-mitomycin-c-a-randomized-controlled-trial
#14
Zakieh Vahedian, Mostafa Mafi, Ghasem Fakhraie, Reza Zarei, Yadollah Eslami, Hadi Ghadimi, Masomeh Mohebbi
PURPOSE: To compare the outcome of trabeculectomy using adjunctive intracameral bevacizumab versus intraoperative mitomycin C (MMC). MATERIALS AND METHODS: In this double-blind, randomized clinical trial 87 eyes of 87 patients with primary open-angle or pseudoexfoliation glaucoma were assigned to each treatment group (44 cases received 1.25 mg intracameral bevacizumab at the end of operation and in 43 cases MMC was applied during surgery). Success was defined as intraocular pressure (IOP) between 6 and 21 mm Hg and at least 30% IOP drop with (qualified) or without (complete) glaucoma medications without additional glaucoma surgery...
August 30, 2017: Journal of Glaucoma
https://read.qxmd.com/read/28777224/short-term-results-of-trabeculectomy-using-adjunctive-intracameral-bevacizumab-versus-mitomycin-c-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Zakieh Vahedian, Mostafa Mafi, Ghasem Fakhraie, Reza Zarei, Yadollah Eslami, Hadi Ghadimi, Masomeh Mohebbi
PURPOSE: To compare the outcome of trabeculectomy using adjunctive intracameral bevacizumab versus intraoperative mitomycin C (MMC). MATERIALS AND METHODS: In this double-blind, randomized clinical trial 87 eyes of 87 patients with primary open-angle or pseudoexfoliation glaucoma were assigned to each treatment group (44 cases received 1.25 mg intracameral bevacizumab at the end of operation and in 43 cases MMC was applied during surgery). Success was defined as intraocular pressure (IOP) between 6 and 21 mm Hg and at least 30% IOP drop with (qualified) or without (complete) glaucoma medications without additional glaucoma surgery...
September 2017: Journal of Glaucoma
https://read.qxmd.com/read/28237157/modified-goniotomy-as-an-alternative-to-trabectome-in-primary-open-angle-glaucoma-and-pseudoexfoliation-glaucoma-1-year-results
#16
Milena Pahlitzsch, Johannes Gonnermann, Anna-Karina B Maier, Eckart Bertelmann, Matthias K J Klamann, Carl Erb
OBJECTIVE: To assess the outcome of modified goniotomy and trabeculotomy ab interno (Trabectome) surgery in adult primary open-angle glaucoma (POAG) and pseudoexfoliation (PEX) glaucoma. DESIGN: Retrospective cohort outcome study. PARTICIPANTS: Two hundred and thirty-six eyes of 236 patients. METHODS: This cohort outcome study included 68 POAG (mean age: 65.7 ± 16.0 years) and 22 PEX glaucoma patients (mean age: 78...
February 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://read.qxmd.com/read/28234683/resolution-of-chronic-corneal-edema-after-surgical-treatment-for-ocular-hypotony
#17
Aishwarya Sriram, Tak Yee Tania Tai
PURPOSE: To describe a case of chronic ocular hypotony and corneal edema, with reversal of the corneal edema following surgical treatment of the hypotony via bleb compression sutures. OBSERVATIONS: A patient with chronic ocular hypotony after trabeculectomy for advanced pseudoexfoliation glaucoma endured gradually worsening corneal edema over 1 year and low endothelial cell counts. Bleb compression sutures were placed with a subsequent increase in intraocular pressure and complete resolution of his corneal edema...
June 2017: Journal of Glaucoma
https://read.qxmd.com/read/27513899/ab-interno-trabeculectomy-with-the-trabectome-as-a-valuable-therapeutic-option-for-failed-filtering-blebs
#18
Thomas Wecker, Matthias Neuburger, Laura Bryniok, Kathrin Bruder, Jan Luebke, Alexandra Anton, Jens F Jordan
PURPOSE: Uncontrolled intraocular pressure (IOP) after glaucoma filtration surgery is a challenging problem in the management of glaucoma patients. The Trabectome is a device for selective electroablation of the trabecular meshwork through a clear cornea incision without affecting the conjunctiva. Minimally invasive glaucoma surgery using the Trabectome is safe and effective as primary glaucoma surgery. Here we investigate the results of ab interno trabeculectomy with the Trabectome for IOP control in patients with a failed filtering bleb...
September 2016: Journal of Glaucoma
https://read.qxmd.com/read/27491696/same-site-trabeculectomy-revision-for-failed-trabeculectomy-outcomes-and-risk-factors-for-failure
#19
Pradtana Hirunpatravong, Alizadeh Reza, Pablo Romero, Eun Ah Kim, Kouros Nouri-Mahdavi, Simon K Law, Esteban Morales, Joseph Caprioli
PURPOSE: To evaluate long-term tonometric outcomes of same-site trabeculectomy revision with mitomycin C (MMC) after failure of an initial trabeculectomy, and to identify risk factors for failure in patients with open-angle glaucoma. DESIGN: Retrospective cohort study. METHODS: One-hundred and seventeen patients (130 eyes) with primary open-angle, pseudoexfoliation, or pigmentary glaucoma, who failed a first trabeculectomy and who were ≥40 years of age at the time of same-site trabeculectomy revision, were included...
October 2016: American Journal of Ophthalmology
https://read.qxmd.com/read/27373120/canaloplasty-after-laser-trabeculoplasty
#20
Gabriela Denisa Caileanu
The paper presents a case of a pseudoexfoliative glaucoma previously treated with argon laser trabeculoplasty in a tertiary center, who was scheduled for canaloplasty in the Ophthalmology Department of the County Hospital Piatra Neamt, Romania. Although the status post laser trabeculoplasty is not among the best indications for canaloplasty, the article confirms the fact that this procedure can also be successfully performed in these cases.
January 2015: Romanian Journal of Ophthalmology
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