Healon5 as a Treatment Option for Recurrent Flat Anterior Chamber after Trabeculectomy

Gutiérrez-Ortiz, C.; Moreno-López, M.

doi:10.1016/s0886-3350(03)00165-2

Cited by 8 publications

(5 citation statements)

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“…Second, it is probable that the larger sample size of our study added to its statistical power with multivariate regression. Third, there were large differences between the subjects of Kim Viscoelastic injection is widely used to treat FAC [21][22][23][24], but providing this additional treatment to our Grade 2-3 FAC study participants was not associated with any long-term success of trabeculectomy. Our study had a retrospective design, and the lack of criteria for the treatment of FAC significantly limits the results.…”

Section: Impact Of Postoperative Fac On the Success Of Trabeculectomymentioning

confidence: 88%

Postoperative flat anterior chamber: incidence, risk factors, and effect on the long-term success of trabeculectomy

et al. 2013

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Section: Impact Of Postoperative Fac On the Success Of Trabeculectomymentioning

confidence: 88%

Postoperative flat anterior chamber: incidence, risk factors, and effect on the long-term success of trabeculectomy

et al. 2013

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“…In our study, a single OVD injection resolved FAC and achieved deep anterior chamber in 84% of the subjects. Case reports by Hoffman et al,7 as well as Gutierrez-Ortiz and Moreno-López13 on the use of OVD injection to treat postoperative FAC suggested that OVD injection is a simple and effective procedure for managing this complication. Our case series study showed that OVD injection is an effective treatment for FAC after trabeculectomy.…”

Section: Discussionmentioning

confidence: 99%

“…The primary outcome variable was the qualified success of the trabeculectomy, defined by three levels of IOP-related criteria with or without glaucoma medication, as follows: (1) IOP ≤21 mmHg, reduced ≥20% from the preoperative level (ie, the last IOP value before surgery); (2) IOP ≤16mmHg, reduced ≥20% from the preoperative level; or (3) IOP ≤12 mmHg, reduced ≥30% from the pre-operative level 13,17. The surgery was deemed to have failed if these criteria were not satisfied at two consecutive visits, or if a secondary surgery to lower the IOP was required.…”

Section: Methodsmentioning

confidence: 99%

Ophthalmic viscoelastic device injection for the treatment of flat anterior chamber after trabeculectomy: a case series study

Hosoda¹,

Yuki²,

Ono³

et al. 2013

OPTH

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PurposeFlat anterior chamber (FAC) in association with overfiltration is a complication after trabeculectomy. The aim of the current study was to investigate the efficacy of injection of an ophthalmic viscoelastic device (OVD) to treat FAC after trabeculectomy in a retrospective consecutive case series study.Materials and methodsTwenty-five consecutive patients who underwent injection of OVD for the treatment of FAC after trabeculectomy were analyzed. The primary outcome variable was the qualified success of trabeculectomy, which was defined at three different levels by the achievement of one of three IOP-related criteria with or without glaucoma medication. Kaplan–Meier plots were generated to estimate survival functions for trabeculectomy with OVD injection.ResultsTwenty-one patients (21/25 = 84.0%) recovered from FAC by one OVD injection. The postoperative intraocular pressure (IOP) measured at 12 months, 24 months, 36 months, 48 months, and 60 months was 14.7 ± 3.6 mmHg, 15.6 ± 7.0 mmHg, 14.2 ± 2.8 mmHg, 14.2 ± 3.8 mmHg, and 14.6 ± 2.7 mmHg, respectively. All postoperative IOP measurements were significantly lower than the preoperative IOP (P < 0.001). The probabilities of qualified success for 5 years after trabeculectomy with OVD injection were as follows: 24.4% (IOP ≦ 21 mmHg and ≧20% reduction of preoperative IOP), 16.5% (IOP ≦ 16 mmHg and ≧20% reduction) and 6.3% (IOP ≦ 12 mmHg and ≧30% reduction). One patient, who had undergone deep lamellar keratoplasty, experienced a complication associated with the injection of the viscoelastic material, Descemet’s membrane detachment.ConclusionInjection of OVD may be effective for the treatment of FAC; however, the long-term success rate was relatively low.

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“…The author favors viscoelastics, which seem overall safer, since they last longer than air and BSS, they are noncataractogenous and are isovolumetric independent of IOP (unlike gases). Viscoelastics offer a broad range of cohesiveness, and perhaps the best compromise is offered by thixotropic substances like Healon 5 [6]. Upon viscoelastic injection, the AC should be filled as much as possible, but care should be taken not to raise the IOP too much, to avoid the deleterious effects of a possible acute IOP spike, but also to avoid breaking the outflow system which was already not tight enough, causing an untoward expulsion of the bulk of viscoelastic into the bleb, with even deeper hypotony.…”

Section: Management Of Hypotonic Flat Anterior Chambermentioning

confidence: 99%

Postoperative Management of Penetrating and Nonpenetrating External Filtering Procedures

Bettin¹

2012

Glaucoma Surgery

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Correct postoperative management is fundamental to prevent and treat complications and to optimize the success of filtering surgery: timely control visits and appropriate actions and prescriptions ensure the best outcomes, allow recovery from a number of untoward events, and can reestablish filtration when failure seems imminent. In contrast, a slack follow-up and wrong interventions or prescriptions can lead to failure of any surgery, no matter how accurately it had been carried out, sometimes jeopardizing vision and even the anatomy of the globe. The purpose of this review is to present a rational approach to postoperative follow-up and to synthetically describe how to prevent, recognize and address the most common complications of filtering surgery, pointing out the most common pitfalls in the management of the operated eye.

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Healon5 as a Treatment Option for Recurrent Flat Anterior Chamber after Trabeculectomy

Cited by 8 publications

References 1 publication

Postoperative flat anterior chamber: incidence, risk factors, and effect on the long-term success of trabeculectomy

Postoperative flat anterior chamber: incidence, risk factors, and effect on the long-term success of trabeculectomy

Ophthalmic viscoelastic device injection for the treatment of flat anterior chamber after trabeculectomy: a case series study

Postoperative Management of Penetrating and Nonpenetrating External Filtering Procedures

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