Journal of Current Glaucoma Practice最新文献

{"title":"Use of Ocular Response Analyzer Output Data in the Management of Low Intraocular Pressure after Glaucoma Filtration Surgery.","authors":"Sarah Dawson,&nbsp;Abhijit Mohite","doi":"10.5005/jp-journals-10078-1402","DOIUrl":"10.5005/jp-journals-10078-1402","url":null,"abstract":"<p><strong>Aim: </strong>To highlight potential benefits of using Reichert's ocular response analyzer (ORA) for intraocular pressure (IOP) measurement following glaucoma filtering surgery (GFS), especially in cases of low IOP.</p><p><strong>Background: </strong>Goldmann applanation tonometry (GAT) is widely regarded as the gold standard of IOP measurement in clinical practice. The ORA also calculates corneal biomechanics, which is used in the calculation of the cornea-compensated IOP (IOPcc).¹ This useful, previously unknown information can be used to guide management in challenging clinical cases.</p><p><strong>Case description: </strong>A 78-year-old lady underwent right trabeculectomy with mitomycin C. During the first 9 months postoperatively, IOP's when measured with GAT, were found to be low (ranging between 2 mm Hg and 5 mm Hg). The patient displayed no clinical features of hypotony and visual acuity remained stable throughout. IOP was also measured with Reichert's ORA, which gives readings for corneal hysteresis (CH), corneal resistance factor and corneal corrected IOP. IOPcc measurements obtained with ORA were consistently higher, ranging from 6.7 mm Hg to 9.3 mm Hg and were more in keeping with the clinical features of the case.</p><p><strong>Conclusion: </strong>This case highlights the possibility that GAT can underestimate the true IOP in eyes with low IOP following GFS, as it does not account for corneal biomechanical properties.</p><p><strong>Clinical significance: </strong>Ocular response analyzer (ORA)-measured IOPcc may be a useful adjunct in reassuring surgeons to manage postoperative numerical hypotony conservatively in the absence of any clinical signs of hypotony.</p><p><strong>How to cite this article: </strong>Dawson S, Mohite A. Use of Ocular Response Analyzer Output Data in the Management of Low Intraocular Pressure after Glaucoma Filtration Surgery. J Curr Glaucoma Pract 2023;17(2):104-105.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"104-105"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/5e/jocgp-17-104.PMC10357027.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Glu323Lys Mutation of the <i>TIGR/MYOC</i> Gene and Risk Factors amongst Primary Open-angle Glaucoma Patients in Ouagadougou, Burkina Faso.","authors":"Lassina Traoré,&nbsp;Jérôme Sanou,&nbsp;Bélélé S Bakyono,&nbsp;Abdou A Zoure,&nbsp;Théodora M Zohoncon,&nbsp;Hermann K Sombié,&nbsp;Albert T Yonli,&nbsp;Guertrude Meda-Hien,&nbsp;Ezechiel B Tibiri,&nbsp;Florencia W Djigma,&nbsp;Jacques Simpore","doi":"10.5005/jp-journals-10078-1403","DOIUrl":"10.5005/jp-journals-10078-1403","url":null,"abstract":"<p><strong>Aim: </strong>Glaucoma is a group of degenerative diseases of the optic nerve whose predisposing factors may be genetic. The objective of this study was to estimate the frequency of the Glu323Lys mutation as a genetic risk factor for glaucoma.</p><p><strong>Materials and methods: </strong>A cross-sectional study over 6 months from October 2020 to March 2021 in Ouagadougou, Burkina Faso. A total of 89 samples of patients with primary open-angle glaucoma (POAG) were collected. The frequency of the Glu323Lys mutation of the myocilin, trabecular meshwork inducible glucocorticoid response (<i>TIGR/MYOC</i>) gene by polymerase chain reaction (PCR)-restriction fragment length polymorphism.</p><p><strong>Results: </strong>In glaucoma patients, only homozygous nonmutated guanine-guanine (GG) and heterozygous mutated adenine-guanine (AG) genotypes were found in 96.63 and 3.37% of cases, respectively. Around 69.66% of patients had a family history of glaucoma, 28.09% had a history of hypertension, and 7.86% had a history of diabetes.</p><p><strong>Conclusion: </strong>The frequency of the Glu323Lys mutation of the <i>TIGR/MYOC</i> gene was 3.37% in the glaucoma population in Ouagadougou. A case-control study is necessary to know the contribution of the Glu323Lys mutation as a genetic risk factor for glaucoma in our study population.</p><p><strong>Clinical significance: </strong>This study constituted the beginning of genetic investigations of glaucoma in our context and showed a low Glu323Lys mutation.</p><p><strong>How to cite this article: </strong>Traoré L, Sanou J, Bakyono BS, <i>et al.</i> Prevalence of Glu323Lys Mutation of the <i>TIGR/MYOC</i> Gene and Risk Factors amongst Primary Open-angle Glaucoma Patients in Ouagadougou, Burkina Faso. J Curr Glaucoma Pract 2023;17(2):79-84.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/2f/jocgp-17-79.PMC10357018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goldmann Applanation Tonometry: Comparison of Intraocular Pressure Values Obtained with Disposable Tip and Conventional Applanation Prism in the Population without Clinical Signs of Glaucoma.","authors":"Pedro Henrique Alves Soares,&nbsp;Rafael de Oliveira Santos,&nbsp;Celso Ribeiro Angelo De Menezes Filho,&nbsp;Sebastião Pimenta Moraes Neto,&nbsp;João Antonio Prata Junior","doi":"10.5005/jp-journals-10078-1401","DOIUrl":"10.5005/jp-journals-10078-1401","url":null,"abstract":"<p><strong>Aim: </strong>Comparing intraocular pressure (IOP) measurements using Goldmann applanation prism and TonoSafe® in the population without signs of glaucoma.</p><p><strong>Material and methods: </strong>Patients with no ocular pathologies, except ametropia (until ± 4 D) or IOP of <30 mm Hg without signs of glaucoma by optic disc structural analysis by fundus biomicroscopy. The IOP was measured sequentially using the traditional cone and the TonoSafe®, according to a randomization list to determine which device would be used first. The measurements from the right and left eyes were compared separately. Since there was no statistical difference, both eyes were considered in this study.</p><p><strong>Results: </strong>A total of 385 eyes of 194 patients with a mean age of 66.4 ± 11.2 years old were included. The mean IOP with conventional prism was 14.2 ± 3.6 and 14.3 ± 3.6 mm Hg with TonoSafe^®. Differences were not statistically significant by the Wilcoxon test (<i>p</i> = 0.3). The median was 14.0 mm Hg for both groups. The mean difference between measurements was 0.04 mm Hg, with the median equal to zero. There was no statistical difference in IOP readings according to which device was the first measurement.</p><p><strong>Conclusion: </strong>No statistical difference was found in IOP was measured with conventional prism or TonoSafe® in the population without signs of glaucoma.</p><p><strong>Clinical significance: </strong>The data provided by our study support the efficacy and safety of the disposable tonometer compared to the Goldman tonometer in measuring IOP in patients without glaucoma.</p><p><strong>How to cite this article: </strong>Soares PHA, Santos RDO, Filho CRADM, <i>et al.</i> Goldmann Applanation Tonometry: Comparison of Intraocular Pressure Values Obtained with Disposable Tip and Conventional Applanation Prism in the Population without Clinical Signs of Glaucoma. J Curr Glaucoma Pract 2023;17(2):75-78.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/64/jocgp-17-75.PMC10357021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can We Ever Win with a Suprachoroidal Implant?","authors":"Leon Au,&nbsp;Shibal Bhartiya","doi":"10.5005/jp-journals-10078-1410","DOIUrl":"10.5005/jp-journals-10078-1410","url":null,"abstract":"<p><p><b>How to cite this article:</b> Au L, Bhartiya S. Can We Ever Win with a Suprachoroidal Implant? J Curr Glaucoma Pract 2023;17(2):55-57.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"55-57"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/ee/jocgp-17-55.PMC10357022.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety Outcomes of XEN Implantation and Gonioscopy-assisted Transluminal Trabeculotomy for the Management of Advanced Open-angle Glaucoma.","authors":"Sunil Ruparelia,&nbsp;Mohammed Sharif,&nbsp;Nir Shoham-Hazon","doi":"10.5005/jp-journals-10078-1394","DOIUrl":"10.5005/jp-journals-10078-1394","url":null,"abstract":"<p><strong>Aim: </strong>Minimally invasive glaucoma surgery (MIGS) is not typically used in patients with advanced-stage glaucoma. This study describes the outcomes and complications of patients with advanced open-angle glaucoma (OAG) who underwent XEN implantation with cataract surgery or gonioscopy-assisted transluminal trabeculotomy (GATT) with cataract surgery.</p><p><strong>Methods: </strong>This retrospective study identified patients who had undergone XEN implantation or GATT for the management of advanced OAG. Outcomes included surgical success, intraocular pressure (IOP) reduction, number of topical IOP-lowering drops, visual field mean deviation (MD), best-corrected visual acuity (BCVA), and complications. Surgical success was defined as an IOP of <14 mm Hg and a 20% reduction at 12 months without topical IOP-lowering drops (complete success) or with topical IOP-lowering drops (qualified success).</p><p><strong>Results: </strong>Exactly 70 eyes were enrolled in this study, including 35 who had undergone XEN implantation and 35 who had undergone GATT. The overall surgical success rate was 74.3% (26 of 35) for eyes that underwent XEN implantation and 71.4% (25 of 35) for eyes that underwent GATT. Percent IOP reduction from baseline to 12 months postoperatively was 48% in the XEN cohort and 32% in the GATT cohort. Significant reduction in the use of topical IOP-lowering drops was demonstrated for both XEN (3.26 ± 1.15-1.23 ± 1.28) (<i>p</i> < 0.001) and GATT (2.46 ± 1.12-0.43 ± 0.78) (<i>p</i> < 0.001) cohorts at 12 months postoperatively. The only complication reported was transient hyphema, which occurred in three patients from the XEN group and four from the GATT group, and resolved spontaneously.</p><p><strong>Conclusions: </strong>Both XEN implantation and GATT may be safe and effective management options when treating patients with advanced OAG. However, larger sample sizes are required to make direct statistical comparisons between these techniques.</p><p><strong>Clinical significance: </strong>In this study, XEN implantation and GATT combined with cataract surgery were each associated with favorable outcomes in patients with advanced OAG.</p><p><strong>How to cite this article: </strong>Ruparelia S, Sharif M, Shoham-Hazon N. Efficacy and Safety Outcomes of XEN Implantation and Gonioscopy-assisted Transluminal Trabeculotomy for the Management of Advanced Open-angle Glaucoma. J Curr Glaucoma Pract 2023;17(2):63-67.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/19/jocgp-17-63.PMC10357019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Hypertensive Phase after Ahmed Glaucoma Valve Implantation in Neovascular Glaucoma.","authors":"Sunidhi Ramesh,&nbsp;Wesam S Shalaby,&nbsp;Jonathan S Myers,&nbsp;Leslie J Katz,&nbsp;Natasha N Kolomeyer,&nbsp;Daniel Lee,&nbsp;Reza Razeghinejad,&nbsp;Marlene R Moster,&nbsp;Aakriti G Shukla","doi":"10.5005/jp-journals-10078-1406","DOIUrl":"10.5005/jp-journals-10078-1406","url":null,"abstract":"<p><strong>Purpose: </strong>To compare Ahmed glaucoma valve (AGV) outcomes in neovascular glaucoma (NVG) eyes with and without a postoperative (PO) hypertensive (HTN) phase.</p><p><strong>Design: </strong>Retrospective study at a single tertiary care center of patients who underwent AGV implantation for NVG treatment with ≥6-month follow-up.</p><p><strong>Methods: </strong>Main outcome measures included intraocular pressure (IOP), number of glaucoma medications (GM), and failure at month 6 or at the most recent visit. Failure was defined as decline to no light perception (NLP) vision, IOP >21 mm Hg, or need for glaucoma reoperations (all with GM).</p><p><strong>Results: </strong>A total of 76 eyes of 74 patients (37 without HTN phase and 39 with HTN phase) with a mean follow-up duration of 28.9 ± 25.7 months (<i>p</i> = 0.602) were included. Both groups had similar demographics, visual acuity (VA), number of GM, etiology of NVG, and retina treatment perioperatively. Baseline IOP was significantly higher in the HTN phase group (<i>p</i> = 0.001). Compared to eyes without an HTN phase, HTN phase eyes more commonly met failure criteria at month 6 (33.3 vs 9.1%; <i>p</i> = 0.01), but both groups had a comparable cumulative failure for the entire follow-up period (<i>p</i> = 0.180). At the most recent visit, the number of GM was higher in the HTN phase group (<i>p</i> = 0.019), but IOP was similar in both groups. PO complications were comparable and uncommon in both groups.</p><p><strong>Conclusion: </strong>Hypertensive (HTN) phase following AGV implantation for NVG is associated with higher preoperative IOP and greater failure by PO month (POM) 6. However, eyes with and without the HTN phase had similar needs for GM and failure rates over the long term.</p><p><strong>How to cite this article: </strong>Ramesh S, Shalaby WS, Myers JS, <i>et al.</i> Evaluation of the Hypertensive Phase after Ahmed Glaucoma Valve Implantation in Neovascular Glaucoma. J Curr Glaucoma Pract 2023;17(2):91-97.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/96/jocgp-17-91.PMC10357026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optic Nerve Head Parameters in Saudi Male Young Adults Using Swept-source Optical Coherence Tomography.","authors":"Naveen K Challa","doi":"10.5005/jp-journals-10078-1405","DOIUrl":"10.5005/jp-journals-10078-1405","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the optic nerve head (ONH) parameters in normal male Saudi eyes using swept-source optical coherence tomography (SS-OCT).</p><p><strong>Materials and methods: </strong>The study included 86 healthy men with a mean age of 23.6 ± 4.82 years. The metrics collected using SS-OCT from each individual was disk area (DA), rim area (RA), cup volume (CV), linear cup-disk ratio (LCDR), vertical cup-disk ratio (VCDR), and total retinal nerve fiber layer (RNFL) thickness, superior RNFL thickness, and inferior RNFL thickness. All the metrics were correlated with the DA. The right eye data were used for the correlation analysis.</p><p><strong>Results: </strong>The mean DA in OD was 1.78 mm² (range 1.09-2.70 mm²). The mean RA was 1.28 mm² (range 0.72-2.47 mm²). The DA showed a significant positive correlation (<i>p</i> < 0.05) with RA, cup area (CA), CV, VCDR, LCDR, and total RNFL thickness.</p><p><strong>Conclusion: </strong>For the first time, using sweeping source OCT (DRI OCT Triton, Topcon Corporation), a normative database of ONH parameters was made accessible to the Saudi male population. While assessing the optic disk for progressive optic neuropathies like glaucoma, disk size should be taken into consideration since the optic DA affects ONH topography, especially in Saudi eyes.</p><p><strong>How to cite this article: </strong>Challa NK. Optic Nerve Head Parameters in Saudi Male Young Adults Using Swept-source Optical Coherence Tomography. J Curr Glaucoma Pract 2023;17(2):58-62.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cb/e3/jocgp-17-58.PMC10357028.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior Segment Biometry in Primary Angle Closure Glaucoma Patients with Visual Field Progression: Comparison between Malays and Chinese.","authors":"F P Neoh,&nbsp;Azhany Y,&nbsp;Azrin Ah Siti,&nbsp;A T Liza-Sharmini","doi":"10.5005/jp-journals-10078-1391","DOIUrl":"10.5005/jp-journals-10078-1391","url":null,"abstract":"<p><strong>Objective: </strong>To compare anterior segment biometry parameters in progress and non-progress primary angle closure glaucoma (PACG) among Malay and Chinese patients.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted between November 2015 and December 2016 involving 75 patients with PACG (43 Malays and 32 Chinese) who were recruited from a single glaucoma center in Malaysia. Ocular examination included anterior segment biometry measurements on the selected eye. Axial length (AL) and anterior chamber depth (ACD) measurement was done using a noncontact partial coherence interferometer (IOL Master, Carl Zeiss, Germany). Anterior chamber angle (ACA) was measured by Anterior Segment-OCT (Spectralis Heidelberg, Germany). Humphrey visual field (HVF) 24-2 analysis of the same eye was conducted and compared with the HVF when diagnosis was made. Progression of PACG patients was assessed according to the Hodapp, Parrish and Anderson's (HPA) classification, they were then divided into progress and non-progress groups. Comparison of anterior segment biometry parameters between Malay and Chinese PACG patients with and without progression was analyzed using independent T test. Multivariate ANOVA analysis was used to compare the anterior segment parameters between progress and non-progress PACG patients, with adjustment for age, gender, lens status, family history and presence of diabetes mellitus.</p><p><strong>Results: </strong>Chinese PACG patients have significant shorter AL (22.18 mm ± 0.76) and narrower ACA (11.96° ± 6.00) compared to Malay PACG patients. Among the progress group, Chinese PACG patients have significant shorter AL, shallower ACD and narrower ACA compared to Malays. However, after controlling for confounding factors, there was significant difference in ACA between Malay and Chinese PACG. There was also no significant difference of ocular biometry measurement between Chinese and Malay patients in progress and non-progress group.</p><p><strong>Conclusion: </strong>There was racial influence in ocular biometry measurement in PACG patients. Chinese have significant narrower ACA compared to Malays. Serial AS-OCT monitoring is important in management of PACG.</p><p><strong>How to cite this article: </strong>Neoh FP, Azhany Y, Siti-Azrin AH, <i>et al.</i> Anterior Segment Biometry in Primary Angle Closure Glaucoma Patients with Visual Field Progression: Comparison between Malays and Chinese. J Curr Glaucoma Pract 2023;17(1):3-8.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 1","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/95/jocgp-17-3.PMC10203328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transscleral Cyclophotocoagulation: New Perspectives for Uncontrolled Glaucoma Management.","authors":"Fabio N Kanadani,&nbsp;Lilian de F Campos,&nbsp;Syril Dorairaj,&nbsp;Tiago S Prata","doi":"10.5005/jp-journals-10078-1398","DOIUrl":"10.5005/jp-journals-10078-1398","url":null,"abstract":"<p><p><b>How to cite this article:</b> Kanadani FN, F Campos LD, Dorairaj S, <i>et al.</i> Transscleral Cyclophotocoagulation: New Perspectives for Uncontrolled Glaucoma Management. J Curr Glaucoma Pract 2023;17(1):1-2.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/80/jocgp-17-1.PMC10203331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Late-onset Relapse of Aqueous Misdirection after Pars Plana Vitrectomy: Case Report and Literature Review.","authors":"Ioannis Halkiadakis,&nbsp;Vasillios Tzimis,&nbsp;Ioannis Markopoulos,&nbsp;Stylianos A Kandarakis,&nbsp;Vasilliki Konstadinidou,&nbsp;Michalis Tzakos","doi":"10.5005/jp-journals-10078-1397","DOIUrl":"10.5005/jp-journals-10078-1397","url":null,"abstract":"<p><strong>Aim: </strong>We report on an 88-year-old female patient who presented with a relapse in aqueous misdirection 15 years after being treated with pars plana vitrectomy (PPV) with hyaloidotomy-zonulectomy-iridotomy (HZI) for the same cause.</p><p><strong>Case description: </strong>A 73-year-old pseudophakic woman with a history of pseudoexfoliation underwent a trabeculectomy in the left eye in our institution because of uncontrolled intraocular pressure. Days after trabeculectomy, the patient developed aqueous misdirection and was treated with PPV combined with HZI. In the following years, the patient had regular follow-up appointments in our instruction, and she had normal intraocular pressures in the left eye without any treatment. A total of 15 years after the vitrectomy, the patient developed gradual swallowing in the anterior chamber and increased intraocular pressure. Neodymium (Nd): yttrium aluminum garnet (YAG) laser hyaloidotomy through the iridectomy opening was performed, the anterior chamber was immediately deepened, and the intraocular pressure was reduced to normal limits. The anterior chamber remained deep, and the intraocular pressure remained normal through the 36 months of follow-up.</p><p><strong>Conclusion: </strong>Relapse of aqueous misdirection may occur many years after vitrectomy, even when HZI is performed. An Nd: YAG- laser hyaloidotomy should be attempted before a second HZI is considered.</p><p><strong>Clinical relevance: </strong>A close and long-lasting follow-up of patients with aqueous misdirection is warranted, especially if the patients are treated not with complete PPV but by a limited disruption of the anterior hyaloid face along with HIZ.</p><p><strong>How to cite this article: </strong>Halkiadakis I, Tzimis V, Markopoulos I, <i>et al.</i> Late-onset Relapse of Aqueous Misdirection after Pars Plana Vitrectomy: Case Report and Literature Review. J Curr Glaucoma Pract 2023;17(1):49-51.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 1","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/8c/jocgp-17-49.PMC10203336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}