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Abstract #27965 Published in IGR 13-1
Long-term results of combined endoscope-assisted pars plana vitrectomy and glaucoma tube shunt surgery
Tarantola RM; Agarwal A; Lu P; Joos KMRetina (Philadelphia, Pa.) 2011; 31: 275-283
Purpose: To assess outcomes after endoscope-assisted pars plana vitrectomy with concurrent pars plana tube shunt placement. Methods: Records of 18 adult patients (19 eyes) with uncontrolled chronic angle-closure glaucoma associated with corneal opacification or fibrosed pupils were retrospectively reviewed. All eyes underwent endoscope-assisted pars plana vitrectomy with Baerveldt tube shunt placement into the vitreous cavity between 1997 and 2005. Intraocular pressure reduction, glaucoma medication reduction, complications, and visual acuity were analyzed. Results: Mean follow-up duration was 62 months (range, 10-106 months). Mean preoperative intraocular pressure was 31.3 (plus or minus) 10.5 mmHg on 3.4 (plus or minus) 1.0 glaucoma medications. Intraocular pressure was significantly reduced at each postoperative time point examined. In the 17 eyes without phthisis, intraocular pressure was significantly reduced at the final follow-up examination to a mean of 11.4 (plus or minus) 2.9 mmHg (P < 0.0001) on 1.3 (plus or minus) 1.2 medications (P < 0.0001). No complications occurred in 14 of 19 eyes. Postoperatively, best-attained visual acuity improved in 14 of 19 eyes, remained unchanged in 4 of 19 eyes, and was reduced in 1 of 19 eyes. Conclusion: Combined endoscope-assisted pars plana vitrectomy with placement of a Baerveldt tube shunt into the vitreous cavity is a useful intervention in patients with uncontrolled chronic angle-closure glaucoma, media opacities, and limited surgical options.
K. M. Joos. Vanderbilt Eye Institute, Vanderbilt University, 2311 Pierce Avenue, Nashville, TN 37232, United States. karen.joos@vanderbilt.edu
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
