Efficacy and safety of a simple surgical method to treat pseudophakic malignant glaucoma

Session Details

Session Title: Glaucoma II

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 10:10

Venue: Boulevard F (Level 1)

First Author: : T.Zarnowski POLAND

Co Author(s): :    A. Wilkos-Kuc   M. Tulidowicz-Bielak   A. Kalinowska   A. Zadrozniak   E. Pyszniak   M. Rekas

Abstract Details

Purpose:

To assess the efficacy and safety of a relatively new surgical method in pseudophakic malignant glaucoma patients.

Setting:

1. Department of Diagnostics and Microsurgery of Glaucoma, Medical University, Lublin, Poland 2. Department of Ophthalmology, Military Institute of Medicine, Warsaw, Poland

Methods:

A retrospective, noncomparative, interventional case series. Ten eyes of nine pseudophakic malignant glaucoma patients with mean age of 63,3 years. All ten eyes underwent a novel surgical technique, an anterior chamber capsulo-hyaloidectomy and anterior vitrectomy through the peripheral iridectomy. Main outcome measures were: reformation of the anterior chamber, intraocular pressure (IOP), best corrected visual acuity (BCVA) and complications.

Results:

All ten eyes with pseudophakic malignant glaucoma were treated successfully by using a new surgical technique. All cases had a relief of aqueous misdirection with anterior chamber deepening during and after the surgery and intraocular pressure (IOP) normalisation postoperatively. Mean preoperative IOP was 37.7±9.9 mmHg and was reduced to 13.5±2.7 at the end of follow up (χ2ANOVA=31,16; P=0.00002). Mean CDVA (log MAR) improved from 0.99±0.73 to 0.88±0.91 at the end of follow-up (paired Wilcoxon’s test, P=0.363). No relapses have been observed so far. There were no complications during surgery and in the postoperative period.

Conclusions:

Presented surgical technique seems to be safe and effective in the management of malignant glaucoma in pseudophakia.

Financial Interest:

NONE