Trabeculectomy with anterior vitrectomy in aphakic and pseudophakic glaucoma

Shlomo Melamed, Doron Neumann, Michael Blumenthal

Research output: Contribution to journalArticlepeer-review

Abstract

In 15 eyes with uncontrolled aphakic/pseudophakic glaucoma, trabeculectomy with anterior vitrectomy was performed. Mean pre-operative intraocular pressure (IOP) was 38.2 ± 6.7 mmHg and mean post operative IOP was 19.3 ± 5.2 mmHg after follow-up of 11.2 2 months. The anterior chamber maintainer technique during vitrectomy has been employed. Success rate (IOP < 21 mmHg with or without glaucoma medication) was 80 %. Visual acuity remained unchanged in 4 eyes, improved in 5 eyes and worsened in 6 eyes. Post-operative complications included: two eyes with cystoid macular edema, two eyes with choroidal effusion and prolonged hypotony, one eye with self-absorbing vitreus hemorrhage and one eye with some opacification of the corneal graft. In aphakic/pseudophakic glaucoma where vitreus is filling the anterior chamber - a combined trabeculectomy with anterior vitrectomy is indicated for removal of vitreus from the sclerostomy site with better aqueous flow through the sclerostomy and adequate control of IOP.

Original languageEnglish
Pages (from-to)157-162
Number of pages6
JournalInternational Ophthalmology
Volume15
Issue number3
DOIs
StatePublished - May 1991
Externally publishedYes

Keywords

  • anterior vitrectomy
  • aphakic/pseudophakic glaucoma
  • high intra ocular pressure
  • trabeculectomy

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