Abstract | INTRODUCTION: MATERIALS AND METHODS: This is a retrospective exploratory pilot study. We studied 23 patients who underwent the procedure then subsequently developed ocular hypertension within a month of the procedure. The probable causes for their early-onset ocular hypertension were identified and addressed with medicine, peripheral iridotomy (PI), complete or partial silicone removal. Trabeculoplasty was done in irretractable causes. This study aimed to evaluate the causes of early onset ocular hypertension after pars plana vitrectomy with silicone oil and explore the outcome of different managements including trabeculectomy. RESULTS:
Inflammation (n=11, 47.8%) was the most common cause of early-onset ocular hypertension. Other causes were overfilling/spilling of silicone oil in anterior chamber (n=5, 21.7%), pupillary block (n=4, 17.4%) and angle-recession glaucoma (n=2, 8.69%). Majority of the cases responded to intraocular pressure (IOP) lowering medications (n=11). Three eyes with persistently high intraocular pressure underwent trabeculectomy after which the intraocular pressure was controlled. CONCLUSION:
|
Authors | Anadi Khatri, Kinsuk Singh, Bivek Wagle, Hony K C, Pratap Karki, André Mermoud |
Journal | Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH
(Nepal J Ophthalmol)
Vol. 14
Issue 27
Pg. 39-48
(Jan 2022)
ISSN: 2091-0320 [Electronic] Nepal |
PMID | 35996902
(Publication Type: Journal Article)
|
Copyright | © NEPjOPH. |
Chemical References |
|
Topics |
- Glaucoma
(complications, surgery)
- Humans
- Intraocular Pressure
- Ocular Hypertension
(diagnosis, etiology, surgery)
- Pilot Projects
- Retinal Detachment
(diagnosis, etiology, surgery)
- Retrospective Studies
- Silicone Oils
(adverse effects)
- Trabeculectomy
(adverse effects, methods)
- Vitrectomy
(adverse effects, methods)
|