keyword
https://read.qxmd.com/read/38509616/uveal-effusion-syndrome-a-case-report
#1
JOURNAL ARTICLE
Brittany Hodges, Felix Omoruyi, Karen Allison
BACKGROUND: This case report is applicable to the field of ophthalmology because there is a paucity of medical literature related to the clinical presentation, diagnosis, and management of uveal effusion syndrome. This is an urgent concern because there are severe complications associated with this disease, including non-rhegmatogenous retinal detachment, angle closure glaucoma, and possible blindness. This report will fill clinical knowledge gaps using a patient example. CASE PRESENTATION: A 68-year-old white male with multiple cardiovascular risk factors initially presented to the Eye Institute Urgent Care Clinic with new onset visual symptoms, including eye pain, eye lid swelling, redness, and tearing of his left eye...
March 21, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38465360/surgical-approaches-to-serous-retinal-detachment-with-retina-lens-touch-in-eyes-with-nanophthalmos
#2
Ahmad M Mansour, Lorenzo López-Guajardo, Şengül Özdek, Ivajlo Popov, Maurizio Parodi Battaglia
Purpose: To describe the visual outcomes and problems that resulted from surgical treatment of nanophthalmic complete retinal detachment (RD) with retina-lens contact. Methods: A multicenter retrospective case series with deep sclerectomy as a treatment was performed. Results: Five cases had extensive deep sclerectomies, 3 with intended drainage of subretinal fluid (SRF). The RD resolved 1 week postoperatively in 4 cases and within 1 month in 1 case. The visual acuity improved from light perception to a median of 20/100...
2024: Journal of Vitreoretinal Diseases
https://read.qxmd.com/read/38465193/uncommon-complication-post-deep-sclerectomy-giant-retinal-tear
#3
Mohammed N Felemban, Merai Alshehri, Faisal F Aljahdali, Marcos Rubio, Konrad Schargel
Glaucoma is a prevalent neurodegenerative disease. It causes progressive visual loss and is one of the most common causes of blindness worldwide. It can be categorized into open-angle or closed-angle glaucoma. Primary congenital glaucoma (PCG) is a subdivision of open-angle glaucoma. Non-penetrating deep sclerectomy (NPDS) is a surgical method for managing open-angle and primary congenital glaucoma, which was first introduced in 1990. During NPDS, a sclera flap is raised but not completely removed, and the outer part of Schlemm's canal and trabecular meshwork, along with the juxtacanalicular tissue, are excised without completely penetrating the eye...
February 2024: Curēus
https://read.qxmd.com/read/38381450/surgical-outcomes-in-uveitic-glaucoma-long-term-evaluation-of-trabeculectomy-non-penetrating-deep-sclerectomy-ex-press-shunt-and-ahmed-glaucoma-valve-a-3-year-follow-up-study
#4
JOURNAL ARTICLE
David Aragón-Roca, David Oliver-Gutierrez, Sandra Banderas García, Jaume Rigo, Antonio Dou, Marta Castany
PURPOSE: Uveitis can lead to secondary glaucoma, a condition with challenging management that can carry irreversible visual loss. Filtering surgery has demonstrated a higher failure rate, increased incidence of postoperative complications and reinterventions in uveitic patients. There is no consensus on the optimal surgical approach for uveitic glaucoma (UG) due to limited data comparing various intraocular pressure (IOP)-lowering surgeries. This retrospective cohort aims to assess the clinical outcomes of trabeculectomy (TBT), non-penetrating deep sclerectomy (NPDS), Ex-PRESS shunt and Ahmed glaucoma valve, providing additional insights into the long-term IOP control and safety of filtering surgeries in UG...
February 21, 2024: Ocular Immunology and Inflammation
https://read.qxmd.com/read/38345007/the-use-of-ologen-implant-in-childhood-glaucoma-surgeries-a-review
#5
REVIEW
Ahmed S Elwehidy, Joseph Toma, Dina Abd Elfattah, Abdelrahman M Elhusseiny
PURPOSE: This study assesses the effectiveness and safety of using Ologen implants (Aeon Astron Europe BV, Leiden, The Netherlands) as an adjunctive therapy in childhood glaucoma surgeries. METHODS: We systematically reviewed the existing literature across various electronic databases to examine the effectiveness and safety of Ologen implants in childhood glaucoma surgeries. RESULTS: Our analysis encompassed 14 studies on the use of Ologen implants in childhood glaucoma...
February 12, 2024: Current Eye Research
https://read.qxmd.com/read/38228233/long-anterior-zonule-trait-lessons-learned-about-an-uncommon-form-of-secondary-angle-closure-a-case-report
#6
J González Martín-Moro, Y Fernández Miguel, C Izquierdo Rodríguez, V Miralles Pechuán, K Villar Zarra, M Castro Rebollo
A 62-year-old black woman with uncontrolled chronic narrow-angle glaucoma on 3-drug therapy underwent phaco-non-perforating deep sclerectomy of her left eye. During surgery it was revealed that she had long zonule trait. She later required goniopuncture and conjuntival needling, presenting an iris herniation in the goniopuncture that could be reduced conservatively. Long anterior zonule trait should be suspected in those patients presenting with a combination of narrow angle and pigment dispersion syndrome...
January 14, 2024: Archivos de la Sociedad Española de Oftalmología
https://read.qxmd.com/read/38205265/glaucoma-surgery-and-ocular-blood-flow-in-colour-doppler-imaging-is-there-a-link
#7
REVIEW
Mateusz Zarzecki, Iwona Obuchowska, Andrzej Ustymowicz, Joanna Konopińska
Glaucoma is a common cause of blindness worldwide. This disease is characterised by increased intraocular pressure (IOP) and the concomitant disruption of ocular haemodynamic. Several studies have demonstrated that trabeculectomy is associated with changes in extraocular blood flow. In this study, we reviewed the available evidence on the use of colour Doppler imaging to evaluate and manage patients with open-angle glaucoma. We present the detailed anatomy of ocular blood flow to provide a background for the research findings...
2024: Clinical Ophthalmology
https://read.qxmd.com/read/38201410/functional-and-morphological-outcomes-after-trabeculectomy-and-deep-sclerectomy-results-from-a-monocentric-registry-study
#8
JOURNAL ARTICLE
Valentin Pfeiffer, Pascal Aurel Gubser, Xiao Shang, Joel-Benjamin Lincke, Nathanael Urs Häner, Martin Sebastian Zinkernagel, Jan Darius Unterlauft
The aim of this study was to compare the effectiveness of trabeculectomy (TE) and deep sclerectomy (DS) in lowering intraocular pressure (IOP) and thereby preserving visual field and peripapillary retinal nerve fiber layer (RNFL) tissue in primary open-angle glaucoma (POAG) cases. IOP, number of IOP-lowering medications, visual acuity, mean defect of standard automated perimetry, and mean peripapillary RNFL thickness were retrospectively collected and followed up for 3 years after surgery. TE was performed in 104 eyes and DS in 183 eyes...
January 2, 2024: Diagnostics
https://read.qxmd.com/read/38199527/hypotony-failure-criteria-in-glaucoma-surgical-studies-and-their-influence-on-surgery-success
#9
JOURNAL ARTICLE
Alessandro Rabiolo, Giacinto Triolo, Daniela Khaliliyeh, Sang Wook Jin, Esteban Morales, Alessandro Ghirardi, Nitin Anand, Giovanni Montesano, Gianni Virgili, Joseph Caprioli, Stefano De Cillà
PURPOSE: Review hypotony failure criteria used in glaucoma surgical outcome studies and evaluate their impact on success rates. DESIGN: Systematic literature review and application of hypotony failure criteria to 2 retrospective cohorts. PARTICIPANTS: A total of 934 eyes and 1765 eyes undergoing trabeculectomy and deep sclerectomy (DS) with a median follow-up of 41.4 and 45.4 months, respectively. METHODS: Literature-based hypotony failure criteria were applied to patient cohorts...
January 8, 2024: Ophthalmology
https://read.qxmd.com/read/38180630/effect-of-trabeculodescemetic-window-perforation-in-deep-sclerectomy-on-intraocular-pressure-in-primary-congenital-glaucoma
#10
JOURNAL ARTICLE
Abdulaziz AlQattan, Konrad Schargel, Ibrahim AlJadaan, Nouf AlZendi, Gorka Sesma
INTRODUCTION: Primary congenital glaucoma causes vision loss if intraocular pressure is uncontrolled. Nonpenetrating deep sclerectomy is effective in treating primary congenital glaucoma. However, the effects of inadvertent trabeculodescemetic window perforation remain unclear. METHODS: This retrospective cohort study included patients with primary congenital glaucoma who underwent nonpenetrating deep sclerectomy between 2014 and 2021. The perforation group had intraoperative trabeculodescemetic window perforations; the non-perforation group did not...
February 2024: Ophthalmology and Therapy
https://read.qxmd.com/read/38146936/incidence-of-glaucoma-filtration-surgery-from-disease-onset-of-open-angle-glaucoma
#11
JOURNAL ARTICLE
Aapo Virtanen, Jari Haukka, Sirpa Loukovaara, Mika Harju
AIMS: To investigate the rate and risk factors of undergoing glaucoma filtration surgery (GFS) in patients with newly diagnosed open-angle glaucoma (OAG). METHODS: This is a population-based historic cohort study, consisting of 9420 patients older than 45 years diagnosed with OAG during 1997-2010. Follow-up spanned from 1997 to 2017. We obtained data for trabeculectomy (TRE), deep sclerectomy (DS), and glaucoma drainage implant (GDI) surgeries from national administrative healthcare registers by hospital billing data...
December 26, 2023: Acta Ophthalmologica
https://read.qxmd.com/read/38028507/efficacy-and-safety-of-deep-sclerectomy-with-uveoscleral-implant-plus-collagen-matrix-implant-overcoming-the-superficial-scleral-flap-in-glaucoma-surgery
#12
JOURNAL ARTICLE
Jéssica Botella-García, Marta Balboa, Pau Romera-Romero, Theo Stijnen, Adrián Sánchez-Fortún, Karl Mercieca, Jordi Loscos-Arenas
AIM: To assess the efficacy and safety of non-penetrating deep sclerectomy (NPDS) with uveoscleral implant plus subconjunctival and intrascleral collagen matrix overcoming the superficial scleral flap lips (modified deep sclerectomy technique, DS) and minimal use of mitomycin C in glaucoma surgery. METHODS: A retrospective review of 47 consecutive glaucoma patients who underwent NPDS with DS between January 2017 and May 2018. Best-corrected visual acuity, intraocular pressure (IOP), post-operative need for glaucoma medications, visual field mean deviation (MD), re-interventions, needling revisions and laser goniopuncture were noted...
2023: International Journal of Ophthalmology
https://read.qxmd.com/read/37892916/swept-source-anterior-segment-optical-coherence-tomography-imaging-and-quantification-of-bleb-parameters-in-glaucoma-filtration-surgery
#13
JOURNAL ARTICLE
Jeremy C K Tan, Hussameddin Muntasser, Anshoo Choudhary, Mark Batterbury, Neeru A Vallabh
This paper describes a technique for using swept-source anterior segment optical coherence tomography (AS-OCT) to visualize internal bleb microstructure and objectively quantify dimensions of the scleral flap and trabeculo-Descemet window (TDW) in non-penetrating glaucoma filtration surgery (GFS). This was a cross-sectional study of 107 filtering blebs of 67 patients who had undergone deep sclerectomy surgery at least 12 months prior. The mean post-operative follow-up duration was 6.5 years +/- 4.1 [standard deviation (SD)]...
October 13, 2023: Bioengineering
https://read.qxmd.com/read/37777420/evaluation-of-the-efficacy-and-safety-of-pars-plana-vitrectomy-with-irido-zonulo-hyaloidotomy-for-malignant-glaucoma
#14
JOURNAL ARTICLE
A Sellam, M Tourabaly, V Borderie, N Bouheraoua
PURPOSE: To assess the efficacy and safety of pars plana vitrectomy with irido-zonulo-hyaloidotomy (IZH) for fluid misdirection syndrome (FMS) in pseudophakic eyes. METHODS: This was a retrospective case series study of patients treated with pars plana vitrectomy with IZH for FMS between February 2017 and March 2020. Complete success was defined as central anterior chamber (AC) deepening with an intraocular pressure (IOP) of 21mmHg or less (on 2 consecutive visits at least 1 week apart) without topical or systemic glaucoma medications...
September 28, 2023: Journal Français D'ophtalmologie
https://read.qxmd.com/read/37701011/our-experience-of-deep-sclerectomy-at-a-tertiary-center-in-the-united-kingdom-over-14-years
#15
JOURNAL ARTICLE
James Richardson-May, Rawdha Alnuaimi, Ahmed Elbably, Lawrence Walker, Suresh Thulasidharan, Richard Dacombe, Aby Jacob
Background Deep sclerectomy (DS) is a non-penetrating surgical procedure for glaucoma, reducing the resistance to aqueous outflow and lowering intraocular pressure while maintaining a physiological barrier between the anterior chamber and the sub-scleral space. This offers a lower complication profile than penetrating procedures, though with less intraocular pressure (IOP) reduction. Methods We retrospectively reviewed the electronic record for all DS undertaken at our hospital (a tertiary care center) over 14 years, collecting data on demographics, diagnosis, IOP, visual acuity, complications, medications, and further procedures required...
August 2023: Curēus
https://read.qxmd.com/read/37639080/factors-affecting-recurrence-and-metastasis-in-conjunctival-melanoma
#16
JOURNAL ARTICLE
Feyza Çalış Karanfil, Ahmet Kaan Gündüz, Ömür Özlenen Gündüz, Funda Seher Özalp Ateş
PURPOSE: To evaluate clinical and demographic characteristics and factors affecting recurrence, metastasis, and survival in conjunctival melanoma (CM). METHODS: The clinical records of 45 patients who were treated for CM between October 1998 and June 2022 were retrospectively evaluated. Age, gender, presence of underlying conjunctival nevus-primary acquired melanosis (PAM), tumor stage according to the 8th edition of the American Joint Committee on Cancer (AJCC) staging system, tumor basal diameter, tumor thickness, lymph node (LN) involvement, metastasis, presence of tumor at the surgical margin, treatment method, need for adjuvant therapy, local tumor control, recurrence, and survival were recorded...
August 28, 2023: International Ophthalmology
https://read.qxmd.com/read/37585391/efficacy-and-safety-of-sutureless-deep-sclerectomy-in-juvenile-and-adult-open-angle-glaucoma-2-year-outcomes
#17
JOURNAL ARTICLE
Ahmed Mostafa Abdelrahman, Rasha Mounir Eltanamly, Mohamed Sabry Kotb
PRCIS: Sutureless deep sclerectomy achieved significant reduction in primary open angle glaucoma and juvenile glaucoma. PURPOSE: to assess long term results of sutureless deep sclerectomy (SDS) in cases with primary open angle glaucoma (POAG) and juvenile glaucoma (JOAG). PATIENTS AND METHODS: A prospective interventional study included 84 eyes of 54 patients underwent SDS with the superficial scleral flap left un-sutured. Changes in intraocular pressure (IOP) were recorded over two years...
August 7, 2023: Journal of Glaucoma
https://read.qxmd.com/read/37390262/posterior-sclerectomy-for-persistent-serous-retinal-detachment-with-secondary-glaucoma-in-sturge-weber-syndrome-a-case-report
#18
JOURNAL ARTICLE
Ariyanie Nurtania, Yoshiaki Kiuchi, Aisyah Muhlisah, Kazuyuki Hirooka, Naoki Okada, Hiromitsu Onoe, Kana Tokumo
INTRODUCTION: A serous retinal detachment is one of the most likely ocular manifestation of Sturge-Weber syndrome (SWS). This finding can frequently occur as a complication after filtering surgery to maintain the intraocular pressure (IOP). Proper treatment has been approached with choroidal hemangioma as an organ target. To the best of our knowledge, various treatments for SRD are associated with diffuse choroidal hemangioma has been approached. However, a second retinal detachment following radiation therapy has worsened the situation...
June 30, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37364200/uveal-effusion-associated-with-localized-scleroderma-because-of-scleral-fibrosis
#19
JOURNAL ARTICLE
Siyan Li, Wenbo Liu, Mingwei Zhao, Yuhui Li, Xiaoxin Li, Xuan Shi
BACKGROUND/PURPOSE: To report a case of uveal effusion associated with localized scleroderma because of scleral collagen fibrosis. Partial-thickness sclerectomy treatment was successful in acquiring the resolution of the uveal effusion. METHODS: Case report. RESULTS: A 44-year-old Chinese woman with known localized scleroderma visited the retinal clinic complaining of insidious onset blurring of vision in both eyes for 8 months. The best-corrected visual acuity was 20/200...
July 1, 2023: Retinal Cases & Brief Reports
https://read.qxmd.com/read/37331334/combined-trabeculotomy-non-penetrating-deep-sclerectomy-for-glaucoma-in-sturge-weber-syndrome
#20
JOURNAL ARTICLE
Lulu Huang, Li Xu, Yixin Liu, Yijie Yang, Ning Wang, Mengyang Gu, Chengyang Sun, Yue Wu, Wenyi Guo
INTRODUCTION: The aim of the study was to evaluate the efficacy and safety of combined trabeculotomy-non-penetrating deep sclerectomy (CTNS) in the treatment of Sturge-Weber syndrome (SWS) secondary glaucoma. METHODS: This retrospective study reviewed cases that underwent CTNS as initial surgery for SWS secondary glaucoma at our Ophthalmology Department center from April 2019 to August 2020. Surgical success was defined as an intraocular pressure (IOP) ≤ 21 mm Hg with (qualified success) or without (complete success) the use of anti-glaucoma medications...
June 16, 2023: Ophthalmic Research
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