Clinical analysis of supraciliary effusion development following gonioscopy-assisted transluminal trabeculotomy surgery for pseudoexfoliation glaucoma.

IF 3 3区医学 Q1 OPHTHALMOLOGY

Acta Ophthalmologica Pub Date : 2024-11-07 DOI:10.1111/aos.16794

Murat Gunay, Burak Uzun, Adem Turk, Busra Kose, Dilek Uzlu

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Abstract

Purpose: To investigate clinical characteristics of postoperative supraciliary effusion (SCE) development following gonioscopy-assisted transluminal trabeculotomy (GATT) in patients with pseudoexfoliation glaucoma (PEXG).

Methods: In this prospective and observational study, 64 eyes (64 patients) with PEXG were examined with spectral-domain optical coherence tomography (SD-OCT) after GATT over a 12-month follow-up. Outcomes were surgical success, intraocular pressure (IOP), best-corrected visual acuity (BCVA), number of antiglaucoma medications (AGM) and complications of the SCE (+) group with those of SCE (-) group.

Results: SCE was observed in 39 eyes (60.9%) within the first postoperative week. Probability of complete success was significantly higher in the SCE (+) group than in the SCE (-) group (25.6% vs. 16.0%, p = 0.009). IOP was significantly lower at postoperative first day in the SCE (+) group than in the SCE (-) group (p = 0.04), but it was similar thereafter during follow-up (p > 0.05). Postoperative BCVA did not show significant difference at the end of the follow-up (p > 0.05). Postoperative number of AGM was found to be significantly lower in the SCE (+) group compared to the SCE (-) group (p < 0.05). A significant IOP rise was observed after SCE resolution (p = 0.002).

Conclusion: Presence of SCE accompanied with significantly lower IOP during the early postoperative period after GATT surgery for PEXG. SCE might have a favourable impact on postoperative AGM use. SCE can easily be examined by SD-OCT, and be used as a prognostic indicator.

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巩膜镜辅助小梁切开术治疗假性角膜外翻性青光眼术后睫状体上腔积液形成的临床分析。

目的：研究假性外溢性青光眼（PEXG）患者在接受球镜辅助小梁切开术（GATT）后睫状体上腔积液（SCE）发展的临床特征：在这项前瞻性观察研究中，64 位 PEXG 患者在 GATT 术后接受了为期 12 个月的光谱域光学相干断层扫描（SD-OCT）检查。结果显示，SCE（+）组与 SCE（-）组的手术成功率、眼压（IOP）、最佳矫正视力（BCVA）、抗青光眼药物（AGM）用药次数和并发症：39只眼睛（60.9%）在术后一周内观察到SCE。SCE（+）组完全成功的概率明显高于 SCE（-）组（25.6% 对 16.0%，P = 0.009）。术后第一天，SCE (+) 组的眼压明显低于 SCE (-) 组（p = 0.04），但在随后的随访中，两组的眼压相差无几（p > 0.05）。术后随访结束时，BCVA 没有明显差异（P > 0.05）。术后发现，SCE（+）组的 AGM 数量明显低于 SCE（-）组（p 结论：SCE（+）组的 AGM 数量明显低于 SCE（-）组：GATT手术治疗PEXG术后早期，SCE的存在会明显降低眼压。SCE 可能会对术后 AGM 的使用产生有利影响。通过 SD-OCT 可以轻松检查 SCE，并将其作为预后指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.