Abstract：
:To evaluate the efficacy of 25-ga pars plana vitrectomy (PPV) and 25-ga PPV combined with phacoemulsification surgery for managing ciliary block (malignant) glaucoma. The medical records of 11 eyes, in nine consecutive patients with malignant glaucoma were retrospectively reviewed to determine the efficacy of 25-ga PPV for alleviating this disease. All phakic eyes underwent phacoemulsification surgery during vitrectomy. Control of intraocular pressure (IOP), pre- and postoperative best-corrected visual acuity (BCVA), and development of intra- and postoperative complications were evaluated during follow-up. Malignant glaucoma was promptly resolved, and recurrence was not observed during a mean follow-up period of 12.7 ± 3.2 (range 6-18) months. The mean IOP decreased from 35.9 ± 2.9 mmHg, preoperatively, to 16.0 ± 1.4 mmHg, measured at last visit (P = 0.013). Although IOP control was achieved in all eyes after surgery, two eyes required long-term topical antiglaucoma medication. The mean logarithm of the minimum angle of resolution BCVA improved from +0.69 ± 0.11, preoperatively, to +0.29 ± 0.07, postoperatively (P = 0.027). No severe intraoperative complications were observed. Postoperative complications mostly occurred during the first week after surgery, including transient corneal edema and Descemet's membrane folds in three eyes, fibrotic exudation in 2, local iris posterior synechia in 1, and transient hypotony in 1, which were resolved spontaneously or with medication. The 25-ga PPV procedure seems to be safe and effective for treating malignant glaucoma. Combined vitrectomy with phacoemulsification surgery and a staged surgical approach may improve the success rate.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Meng L,Wei W,Li Y,Hui X,Han X,Shi Xdoi
10.1007/s10792-014-9974-0subject
Has Abstractpub_date
2015-08-01 00:00:00pages
487-93issue
4eissn
0165-5701issn
1573-2630journal_volume
35pub_type
杂志文章abstract：:To describe the epidemiology, mechanism of injury, and final visual and anatomical outcomes of pediatric patients with open globe injury. The medical records of patients aged ≤ 16 years diagnosed with open globe injury between January 2006 and December 2010 were retrospectively reviewed. Forty-nine pediatric patients ...
journal_title：International ophthalmology
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journal_title：International ophthalmology
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 杂志文章
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更新日期：1982-02-01 00:00:00
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更新日期：1983-01-01 00:00:00
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pub_type： 杂志文章,评审
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：International ophthalmology
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pub_type： 杂志文章
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journal_title：International ophthalmology
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