Vitrectomía vía pars plana e implante simultáneo de dispositivo de drenaje para glaucoma |
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| Authors: | MJ Suárez-Fernández E Gutiérrez-Díaz A Julve San Martín MF Fernández-Reyes E Mencía-Gutiérrez |
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| Institution: | 1. Unidad de Neurooftalmología, Servicio de Oftalmología, Instituto de Investigación Sanitaria, Hospital Clínico San Carlos (IdISSC), Madrid, España;2. Cátedra de Oftalmología, Universidad de Salamanca, Salamanca, España;1. Hospital Rey Juan Carlos, Madrid, España;2. Novovision, Madrid, España;3. Hospital Universitario de la Princesa, Madrid, España;4. Vissum Corporación, Madrid, España;5. Hospital Universitario Ramón y Cajal, Madrid, España;6. Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España;7. Departamento de Ciencias Morfológicas y Cirugía, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España;1. Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;2. Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;3. Department of Surgery, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;4. Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;5. Division of Neurosurgery, Department of Surgery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan;1. Alta Especialidad en Retina y Vítreo, Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México;2. Alta Especialidad en Córnea y Segmento Anterior, Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México;3. Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México;4. Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Ciudad de México, México;1. Hospital Dr. Luis Sánchez Bulnes, Asociación para Evitar la Ceguera en México, Coyoacan, México;2. Servicio de Glaucoma, Hospital Dr. Luis Sánchez Bulnes, Coyoacan, México |
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| Abstract: | PurposeTo evaluate intraocular pressure (IOP) and visual acuity (VA) results after glaucoma drainage device (GDD) implantation combined with simultaneous pars plana vitrectomy (PPV).Material and methodsRetrospective review of 8 eyes (7 patients). The diagnosis was neovascular glaucoma (NVG) secondary to proliferative diabetic retinopathy in 4 eyes, in a which a double plate Molteno implant was placed, and glaucoma secondary (GS) to complicated cataract surgery in 3 eyes and penetrating trauma in one eye, in which a glaucoma Ahmed valve was implanted.ResultsMean preoperative IOP was 35.77 mmHg (20-50) and 11.5 mmHg (2-20) postoperatively, and mean number hypotensive drugs was decreased from 2.33 (0-3) before surgery to 0.62 (0-3) after it. Preoperative VA in NVG was light perception or counting fingers, and it was lost in three eyes. In GS, VA before surgery was below 0.1 in all eyes, and three months after surgery mean VA was 0.42 (0.1-0.8). Mean follow-up was 10.12 months (5-27). The complications were tube obstruction in two cases, one of these presenting also a suprachoroidal hemorrage and ptisis bulbi, plate exposure in one case, and bullous keratopathy as a late complication in another eye.ConclusionsThe VA and IOP were well controlled with this procedure in GS. In NVG, IOP was controlled, but visual results were poor due to complications and the underlying pathology. |
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