Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

DIFFERENT SURGICAL MODALITIES FOR MANAGEMENT OF PERSISTENT GLAUCOMA AFTER SILICONE OIL REMOVAL IN VITRECTOMIZED EYES

One Year Comparative Study

El-Saied, Heba Magdy MD; Abdelhakim, Mohamad Amr Salah Eddin MD

doi: 10.1097/IAE.0000000000001393
Original Study
Buy

Purpose: Aim of this study was to compare outcome of four different surgical modalities for management of persistent glaucoma after silicone oil removal in vitrectomized eyes.

Methods: This is a prospective comparative study, carried out on a cohort of 41 eyes (41 patients). Patients were randomly allocated to Group A (trabeculectomy), Group B (deep sclerectomy), Group C (Ahmed valve), or Group D (Ex-Press Minishunt). Postoperatively, all patients were followed regularly at 1 day, 1 week, 1, 3, and 6 months, and 1 year for intraocular pressure evaluation.

Results: Postoperatively, there was significant drop in intraocular pressure in each group, and significant difference between the four groups regarding drop and percentage drop in intraocular pressure, with Group C showing the highest mean percentage drop in intraocular pressure, whereas Group B with the least. Success rate was 100% with Ex-Press minishunt, 80% with Ahmed valve, and 50% for each of trabeculectomy and deep sclerectomy. Hypotony occurred in 50% with Ahmed valve and 40% with trabeculectomy, whereas glaucoma occurred in 50% with deep sclerectomy and 30% with trabeculectomy.

Conclusion: For controlling persistent glaucoma after silicone oil removal in our work, Ex-Press minishunt had the highest complete success rate with no postoperative complications.

In this study, we aimed to compare the outcome of four different surgical modalities for management of persistent glaucoma after silicone oil removal: trabeculectomy, deep sclerectomy, Ahmed valve, and Ex-Press minishunt. We found that for controlling persistent glaucoma, Ex-Press minishunt had the highest complete success rate.

Department of Ophthalmology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt.

Reprint requests: Mohamad Amr Salah Eddin Abdelhakim, MD, 11c, Street 199, Apartment #9, Degla, Maadi, Cairo 11431, Egypt; e-mail: m.amr.salah@kasalainy.edu.eg

None of the authors has any financial/conflicting interests to disclose.

H. M. El-Saied: collection of data; conduction of study; analysis and interpretation of data; drafting the work. M. A. S. E. Abdelhakim: collection of data; conduction of study; analysis and interpretation of data; drafting the work.

© 2017 by Ophthalmic Communications Society, Inc.