2004
DOI: 10.1038/sj.eye.6701425
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The surgical management of chronic hypotony due to uveitis

Abstract: Purpose Evaluate surgery in chronic hypotony secondary to uveitis. Method Retrospective analysis of six patients operated for chronic hypotony (p5 mmHg) of at least 1 month's duration. Surgery involved removal of all traction and membranes on the ciliary processes. Use of oil was limited to patients with atrophic ciliary processes. Results The average postoperative follow-up was 24 months (12-43). The average pressure increase was 7 mmHg at 6 months. Four of six uveitis patients had significantly increased vis… Show more

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Cited by 42 publications
(12 citation statements)
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“…Neither injection of saline solution nor lymphocytes could decrease IOP, indicating that IOP drop did not result from nonspecific medium or cell injections. In addition, lymphocytes being particularly prone to induce immune reactivity, the fact that their administration failed to decrease IOP suggests that the decreased pressure did not result from an increased inflammatory response to the graft [47–49]. Interestingly, MSC injected in the anterior ocular chamber persisted only for a few days, far less than the 5 weeks persistence in the retina observed after MSC injection in the vitreous in a similar glaucoma model [50].…”
Section: Discussionmentioning
confidence: 99%
“…Neither injection of saline solution nor lymphocytes could decrease IOP, indicating that IOP drop did not result from nonspecific medium or cell injections. In addition, lymphocytes being particularly prone to induce immune reactivity, the fact that their administration failed to decrease IOP suggests that the decreased pressure did not result from an increased inflammatory response to the graft [47–49]. Interestingly, MSC injected in the anterior ocular chamber persisted only for a few days, far less than the 5 weeks persistence in the retina observed after MSC injection in the vitreous in a similar glaucoma model [50].…”
Section: Discussionmentioning
confidence: 99%
“…Choroidal fluid is believed to accumulate as a result of enhanced uveoscleral outflow and decreased aqueous humour production, a cycle that is often perpetuated once choroidal effusion develops. A ring of anterior choroidal fluid can rotate the ciliary body forward, impairing its ability to produce aqueous humour (Weekers & Delmarcelle 1953; de Smet et al. 2005).…”
Section: Aetiology Histopathology and Mechanismsmentioning
confidence: 99%
“…Choroidal fluid is believed to accumulate as a result of enhanced uveoscleral outflow and decreased aqueous humour production, a cycle that is often perpetuated once choroidal effusion develops. A ring of anterior choroidal fluid can rotate the ciliary body forward, impairing its ability to produce aqueous humour (Weekers & Delmarcelle 1953;de Smet et al 2005). Dellaporta (1954) believed that, in hypotonic eyes, the protruding nerve head pulled the nerve-fibre layer causing friction between the retina and the pigment epithelium of the retina along the nerve fibres.…”
Section: Aetiology Histopathology and Mechanismsmentioning
confidence: 99%
“…It allows direct localization and observation of the tear with its associated vitreous traction, allowing one to decide on the most expedient means of re-attaching the retina, thus avoiding unnecessary surgery. 16,17 By-passing the anterior segment opacities shortens the surgical intervention and avoids extensive eye surgery. This allows for a more rapid recovery, as it minimizes trauma to ocular structures.…”
Section: Discussionmentioning
confidence: 99%