No abstract

Purpose To evaluate the outcomes of Ahmed glaucoma valve (AGV) implantation in vitrectomized eyes. Materials and Methods The medical records of 13 eyes that developed glaucoma due to emulsified silicon oil or neovascularization following pars plana vitrectomy and underwent AGV implantation were retrospectively reviewed. The main outcome measures were intraocular pressure (IOP), best-corrected visual acuity (BCVA), number of antiglaucoma medications, and postoperative complications. Surgical success was defined as last IOP ≤21 mmHg or ≥6 mmHg and without loss of light perception. Results The mean follow-up duration was 11.7 ± 5.5 (range, 6–23) months. The mean IOP before the AGV implantation was 37.9 ± 6.7 mmHg with an average of 3.5 ± 1.2 drugs. At the final visit, the mean IOP was 15.9 ± 4.6 mmHg (p=0.001) and the mean number of glaucoma medications decreased to 2.3 ± 1.3 (p=0.021). At the last visit, 11 eyes (84.4%) had stable or improved VA and one eye (7.7%) had a final VA of no light perception. Surgical success was achieved in 11 of the 13 eyes (84.4%). Postoperative complications were bleb encapsulation (69.2%), early hypotony (38.5%), hyphema (23.1%), decompression retinopathy (23.1%), choroidal detachment (15.4%), intraocular hemorrhage (7.7%), and late endophthalmitis (7.7%). One eye (7.7%) was enucleated because of late endophthalmitis. Conclusions Despite complications necessitating medical and surgical interventions, vitrectomized eyes were effectively managed with AGV implantation.

MPV and NLR were found to be not affected in branch retinal vein occlusion patients.

Anterior segment spectral-domain optical coherence tomography offers non-invasive, in vivo measurement of the SC, and it could be used for investigating the SC changes in patients with PEX glaucoma.

PurposeTo evaluate the intra- and postoperative complications of phacoemulsification in sequential and combined procedures of 23-gauge vitrectomy and cataract surgery.MethodsThe medical records of 376 patients who underwent phacoemulsification in a vitrectomized eye (sequential group) and 458 patients who underwent combined vitrectomy and phacoemulsification (combined group) were retrospectively reviewed. Main outcome measures were intra- and postoperative complications of phacoemulsification surgery. Surgical indications were a progressed cataract with various retinal conditions.ResultsThe most common intraoperative complication during phacoemulsification was posterior capsule rupture in both groups. The rate of this complication was higher in the sequential group (18 eyes, 4.8%) than in the combined group (7 eyes, 1.5%) (p = 0.006). The most common early postoperative complication was transient high intraocular pressure (68 eyes, 14.8%) and late postoperative complication was pupillary in the synechia combined group (82 eyes, 17.9%). The most common early postoperative complication was transient high intraocular pressure (29 eyes, 7.7%) and late postoperative complication was posterior capsule opacification (27 eyes, 7.2%) in the sequential group. Fibrinous exudation occurred more in the combined group (57 eyes, 12.4%) than in the sequential group (19 eyes, 5.1%) (p = 0.000).ConclusionBoth sequential and combined cataract surgeries seemed to be safe. Combined surgery could be preferred in harder cataracts and zonular dehiscence.