Clinical profile and long term outcomes of eyes with choroidal detachment following trabeculectomy

Simple item page
dc.contributor.authorRao, Sanjanaen_US
dc.contributor.authorMaheshwari, Devendraen_US
dc.contributor.authorPawar, Neelamen_US
dc.contributor.authorKadar, Mohideen A.en_US
dc.contributor.authorRamakrishnan, Rengappaen_US
dc.contributor.authorUduman, Mohammed Sen_US
dc.date.accessioned2023-08-25T06:32:57Z
dc.date.available2023-08-25T06:32:57Z
dc.date.issued2022-05
dc.description.abstractPurpose: To assess the long?term outcomes of choroidal detachments (CDs) in eyes following trabeculectomy. Methods: Retrospective comparative case series. Data of patients with CDs following trabeculectomy (5?year period) with or without cataract surgery with a minimum of 3 months of follow?up were included. Results: In total, 45 patients with CDs following trabeculectomy were included. The mean age was 63.27 ± 8.68 years, (M:F = 2:1); 29 of 45 eyes (64.4%) had a baseline IOP of >24 mm Hg. Patients had a median follow?up of 22.2 (IQR: 16.2–30.5) months. Further, 10 of 45 eyes (22.2%) had CDs following suture lysis. The median onset of choroidal detachment from the time of surgery was 16.0 (IQR: 11–36) days. The mean BCVA improved from 0.62 ± 0.28 to 0.24 ± 0.27 (P < 0.001) and mean IOP increased from 4.07 ± 2.66 to 11.20 ± 5.31 (P < 0.001) at last visit. The cumulative success rates were 76.4% (95% CI: 48.4–90.5) in POAG eyes and 79.3% (95% CI: 62.8–89.1) in PACG eyes (P = 0.547). Medical management was the mainstay in all patients. Four of 45 (8.88%) patients underwent subsequent choroidal drainage. Conclusion: Choroidal detachment following modern?day trabeculectomy has favorable long?term visual acuity and IOP outcomes. There was no difference in the long?term surgical success of trabeculectomy with choroidal detachments in primary angle?closure and open?angle glaucoma eyes. Long?term follow?up is essential to prevent chronic hypotony and trabeculectomy failureen_US
dc.identifier.affiliationsDepartment of Glaucoma, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatric Ophthalmology and Strabismus, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, Indiaen_US
dc.identifier.citationRao Sanjana, Maheshwari Devendra, Pawar Neelam, Kadar Mohideen A., Ramakrishnan Rengappa, Uduman Mohammed S. Clinical profile and long term outcomes of eyes with choroidal detachment following trabeculectomy. Indian Journal of Ophthalmology. 2022 May; 70(5): 1635-1641en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224295
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber5en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_2876_21en_US
dc.subjectChoroidal detachmenten_US
dc.subjecttrabeculectomyen_US
dc.titleClinical profile and long term outcomes of eyes with choroidal detachment following trabeculectomyen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
IJO2022v70n5p1635.pdf
Size:
813.77 KB
Format:
Adobe Portable Document Format
Download
Collections
Indian Journal of Ophthalmology