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Abstract #15891 Published in IGR 2-3
Visual field results after vitreous surgery in a case series of patients with open-angle glaucoma
Moroi SE; Gottfredsdottir MS; Van Heck T; Musch DC; Johnson MWOphthalmic Surgery and Lasers 2000; 31: 380-386
BACKGROUND AND OBJECTIVE: Visual field loss is a complication of vitrectomy and a concern for patients with glaucoma. The authors' objective was to determine whether vitrectomy is associated with new field defects in patients with glaucoma. PATIENTS AND METHODS: This retrospective case series involved seven eyes of seven patients, who had open-angle glaucoma and underwent vitrectomy for macular hole (two) or epiretinal membrane (five). RESULTS: Acuity improved by at least two lines in five eyes. Visual fields showed a change in mean deviation following vitrectomy (mean difference -1.50 dB, p = 0.0006, paired Student's t test). One eye had confirmed progression of a pre-existing visual field defect, but no new defects were apparent in the other eyes. Transient intraocular pressure rises requiring therapy occurred in three eyes. One eye developed macular edema, but no other operative complications occurred. CONCLUSIONS: The results of this small case series suggest that vitrectomy may be an acceptable intervention in eyes with glaucoma and co-existing macular problems.
Dr. S.E. Moroi, W.K. Kellogg Eye Center, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA
Classification:
12.16 Vitrectomy (Part of: 12 Surgical treatment)
