[Clinical factors favoring excessive subconjunctival fibroblastic proliferation after glaucoma surgery]. / Facteurs cliniques favorisant la cicatrisation conjonctivale excessive après chirurgie du glaucome.
J Fr Ophtalmol
; 31(6 Pt 2): 2S74-7, 2008 Jul.
Article
de Fr
| MEDLINE
| ID: mdl-18957919
ABSTRACT
PURPOSE:
To understand risk factors for failure of glaucoma filtering surgery. PATIENTS A retrospective study of 67 eyes (16 nonpenetrating trabeculectomies, 51 trabeculectomies [31 with 5FU and 20 with mitomycin]) of 61 patients in whom 5FU bleb revision was needed because of increasing intraocular pressure. Postoperative incidents were analyzed to explain excessive subconjunctival fibroblastic proliferation.RESULTS:
In eight cases, IOP increased after 6.16 months (+/-2) and for 59 eyes, after 33.5 days after surgery (+/-11.4). Postoperative incidents were 24 (35.9%) bleb leaks, nine cases (13.4%) of hypotony with choroidal detachment, six (9.0%) iris incarcerations, seven (10.4%) cystic blebs, and 21 (31.3%) inflammatory flat blebs. After a mean follow-up of 27 months +/- 18, the success of bleb 5FU revision was 84.6% for nonpenetrating trabeculectomy (without glaucoma treatment, 69.2%; with medical treatment, 15.4%) and 73.9% for trabeculectomy (47.8% and 32.6%).CONCLUSION:
Postoperative outcomes favor an inner or outer obstacle to conjunctival filtration. Aqueous humor can no longer remain in the subconjunctival spaces, increasing the risk of glaucoma surgery failure. Early follow-up of glaucoma surgery is crucial to obtaining long-lasting filtration.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications postopératoires
/
Glaucome
/
Cicatrice
/
Conjonctive
/
Fibroblastes
Type d'étude:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
Fr
Journal:
J Fr Ophtalmol
Année:
2008
Type de document:
Article
Pays d'affiliation:
France