Trabeculectomy with anterior vitrectomy in aphakic and pseudophakic glaucoma

✍ Scribed by Shlomo Melamed; Doron Neumann; Michael Blumenthal

• Publisher: Springer Netherlands
• Year: 1991
• Tongue: English
• Weight: 360 KB
• Volume: 15
• Category: Article
• ISSN: 0165-5701
• DOI: 10.1007/bf00153920

✦ Synopsis

In 15 eyes with uncontrolled aphakic/pseudophakic glaucoma, trabeculectomy with anterior vitrectomy was performed. Mean pre-operative intraocular pressure (lOP) was 38.2 + 6.7 mmHg and mean post operative lOP was 19.3 + 5.2 mmHg after follow-up of 11.2 2 months. The anterior chamber maintainer technique during vitrectomy has been employed. Success rate (IOP < 21 mmHg with or without glaucoma medication) was 80%. Visual acuity remained unchanged in 4 eyes, improved in 5 eyes and worsened in 6 eyes. Post-operative complications included: two eyes with cystoid macular edema, two eyes with choroidal effusion and prolonged hypotony, one eye with self-absorbing vitreus hemorrhage and one eye with some opacification of the corneal graft. In aphakic/pseudophakic glaucoma where vitreus is filling the anterior chamber -a combined trabeculectomy with anterior vitrectomy is indicated for removal of vitreus from the sclerostomy site with better aqueous flow through the sclerostomy and adequate control of IOP. * ECCE = Extracapsular Cataract Extraction. ** A/C IOL = Anterior Chamber Intraocular Lens. *** Ant. Vit. + Anterior Vitrectomy.