Resultados de la esclerectomia profunda no perforante en el tratamiento del glaucoma inflamatoria al año de seguimiento

Arruabarrena, Carolina; Muñoz-Negrete, F.J.; Márquez, César; Rebolleda, Gema

doi:10.4321/s0365-66912007000800006

Cited by 11 publications

(2 citation statements)

References 9 publications

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“…Overall success rates (complete and qualified success) range from 87% to 100%. A favourable aspect of this technique is that complications (in these cases, lens opacities, reversible hypotony, hyphema and bleb encapsulation) occur infrequently [16–18]. We used a slightly modified standard deep sclerectomy to obtain a conventional transscleral deep filtration and combined it with circumscribed goniotomies to increase the filtration.…”

Section: Discussionmentioning

confidence: 99%

Trabeculectomy or modified deep sclerectomy in juvenile uveitic glaucoma

Heinz

Koch

Heiligenhaus

2011

J Ophthal Inflamm Infect

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PurposeThe purpose of this study is to report the effectiveness of trabeculectomies (TE) and modified deep sclerectomies (mdS) in a group of patients with juvenile uveitic secondary glaucoma.MethodsThis is a retrospective analysis of 16 TE and eight mdS.ResultsPostoperatively, an IOP reduction to 11.6 ± 4.7 mmHg was achieved in the TE group and to 18.5 ± 11.4 mmHg in the mdS group (p = 0.045). In the TE group, 14 patients showed postoperative success, one limited success and another was a failure compared to four successes and four failures in the mdS group (p = 0.041). The mean number of complications was 1.25 ± 1.49 in the TE group and 0.38 ± 0.74 after mdS (p = 0.11). In the mdS group, four patients (50%) needed additional glaucoma surgery compared to one TE patient (p = 0.023).ConclusionBoth surgical techniques showed a marked reduction of IOP. Trabeculectomy has a higher probability of achieving success and lowering IOP.

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Section: Discussionmentioning

confidence: 99%

Trabeculectomy or modified deep sclerectomy in juvenile uveitic glaucoma

Heinz

Koch

Heiligenhaus

2011

J Ophthal Inflamm Infect

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“…There is increasing evidence that NPDS is probably more appropriate for UG [ 40 – 43 ]. Al Obeidan et al published the largest prospective study of 33 consecutive eyes with uncontrolled UG treated with NPDS with MMC and implantation of either the T-Flux implant (Ioltech, La Rochelle, France) or SK gel (Corneal Laboratories, Paris, France).…”

Section: Managementmentioning

confidence: 99%

Current Approach in the Diagnosis and Management of Uveitic Glaucoma

Muñoz‐Negrete

Moreno-Montañés

Hernández-Martínez

et al. 2015

BioMed Research International

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Uveitic glaucoma (UG) typically is associated with very high intraocular pressure (IOP) and more intense optic nerve damage than other glaucoma types. This secondary glaucoma requires an early diagnosis and adequate management of both uveitis and glaucoma. It is mandatory to identify the mechanisms of IOP elevation that in many eyes have multiple combined mechanisms. Management of these patients commonly requires an interdisciplinary approach that includes a glaucoma specialist and rheumatologist to control the inflammation and IOP. Glaucoma surgery is required early in these patients due to the high IOP usually present and is less successful than in primary open-angle glaucoma. Recurrent uveitic episodes, multiple mechanism, and the complications associated with uveitis make surgical management of UG challenging. In this review, the management and treatment of UG are updated to clarify the pathogenesis and prevent optic nerve damage.

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