Lens fluorophotometry after trabeculectomy in primary open-angle glaucoma

Lázaro, Carlos; Benítez-del-Castillo, J.M.; Castillo, Alfredo; García‐Feijoó, Julián; Macias, J.M. Perez; García–Sánchez, J.

doi:10.1016/s0161-6420(01)00865-x

Cited by 13 publications

(7 citation statements)

References 18 publications

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“…However, reducing long-term complications is also important and should not be forgotten. 14 It has long been accepted that glaucoma filtering surgery accelerates cataract formation. 15 , 16 Several studies have shown that, following TBC, adult patients with glaucoma are at greater risk of developing a cataract and thus of needing CE.…”

Section: Discussionmentioning

confidence: 99%

Cataract extraction in patients with primary congenital glaucoma

Morales-Fernández

Martínez-de-la-Casa

Benito-Pascual

et al. 2019

European Journal of Ophthalmology

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Objective: To assess incidence and risk factors of cataract extraction in patients with primary congenital glaucoma, surgical outcome, and complications. Material and method: Retrospective cohort study, in which 108 patients with primary congenital glaucoma were included. Data collected were need for cataract extraction and at what age, intraocular pressure at diagnosis of primary congenital glaucoma, required antiglaucomatous surgeries, possible mutation in the CYP1B1 gene, and final visual acuity. Among the patients who required cataract extraction were visual acuity, intraocular pressure, and complications, evaluated preoperatively and postoperatively. The data were analysed with STATA. Results: A total of 198 eyes of 108 patients were included, with a median follow-up of 8 years (range: 5–53). In all, 32 eyes (16.2%) of 24 patients (22%) required cataract extraction. The median age for cataract extraction was 12.94 years (interquartile range: 2.42–22). The main identified risk factors associated with cataract extraction were antiglaucomatous surgeries (hazard ratio 1.48, p < 0.001) and valvular implant (hazard ratio 2.78, p < 0.001). Lens was implanted in 30/32 eyes and the main complications were intraocular pressure decontrol ( n = 13), capsular fibrosis ( n = 7), corneal decompensation ( n = 4), lens subluxation ( n = 4), and endophthalmitis ( n = 1). Visual acuity improvement was observed after cataract extraction in 66.67% of eyes. Conclusions: There is a high incidence of cataract surgery in patients with primary congenital glaucoma, but generally outside of pediatric age. A greater risk of cataract extraction was identified in those patients with a greater number of antiglaucomatous surgeries, especially after valvular implantation. Despite the high rate of complications related to cataract extraction in primary congenital glaucoma, good visual improvement was observed after surgery.

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Section: Discussionmentioning

confidence: 99%

Cataract extraction in patients with primary congenital glaucoma

Morales-Fernández

Martínez-de-la-Casa

Benito-Pascual

et al. 2019

European Journal of Ophthalmology

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“…While the patient was under maximally tolerated medical therapy, indications for surgery were an IOP that in the examiner's opinion represented a high risk of glaucomatous progression, worsening of the visual field as judged by the examining physician, or deterioration of the optic disc as judged by the physician. All patients underwent a Watson-type trabeculectomy (19)(20)(21)(22)(23). The preoperative data collected were age at the time of surgery, race, sex, history of systemic disease, use of systemic medication, previous laser trabeculoplasty, IOP, number of antiglaucoma medications used, and three reliable baseline preoperative visual fields (17,18).…”

Section: Methodsmentioning

confidence: 99%

Impact of Intraocular Pressure after Filtration Surgery on Visual Field Progression in Primary Open-Angle Glaucoma

Lázaro

García‐Feijoó

Castillo

et al. 2007

European Journal of Ophthalmology

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“…6,7 There is accumulating evidence that trabeculectomy hastens the development of cataract. 5,[8][9][10][11] A recent systematic review found strong evidence that glaucoma surgery increases the risk of development and progression of cataract. 12 This compromises the visual outcomes of otherwise successful trabeculectomy surgery and limits the benefits of reduced IOP.…”

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confidence: 99%

Effect of Trabeculectomy on Lens Opacities in an East Asian Population

Husain¹

2006

Arch Ophthalmol

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Lens fluorophotometry after trabeculectomy in primary open-angle glaucoma

Cited by 13 publications

References 18 publications

Cataract extraction in patients with primary congenital glaucoma

Cataract extraction in patients with primary congenital glaucoma

Impact of Intraocular Pressure after Filtration Surgery on Visual Field Progression in Primary Open-Angle Glaucoma

Effect of Trabeculectomy on Lens Opacities in an East Asian Population

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