Purchase this article with an account.
Jonathan J. Tsang, Umair Iqbal, Ralf R. Buhrmann, Chloe C. Gottlieb; Characterization Of Patients Undergoing Tube Shunt Or Trabeculectomy Surgery For Uveitis-related Intraocular Pressure Elevation. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1965.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To compare demographic data, including uveitis and glaucoma diagnosis, of patients with uveitis-related intraocular pressure elevation undergoing tube shunt or trabeculectomy surgery.
Patients were identified by an electronic search of one surgeon’s billing records for glaucoma filtering procedure codes. Inclusion criteria were diagnosis of uveitic glaucoma or elevated intraocular pressure associated with uveitis and either tube shunt or trabeculectomy surgery. A chart review was conducted and information tabulated for: age, gender, uveitis diagnosis, angle status.
Of 37 patients diagnosed with uveitis, 23 (62%) were male and 14 (38%) were female. The mean age was 60 years (range: 18 to 95 years). Open angle glaucoma (OAG) was present in 25 cases (67.6%). There were 17 males with OAG (68%), while only 8 females (32%) had OAG. Six patients had angle closure glaucoma (ACG) (16.2%). The number of males with ACG was 5 (83.3%) and that of females with ACG was 1 (16.6%). One patient had mixed mechanism glaucoma (2%). The angle status of 2 uveitic glaucoma cases (5.4%) was unknown. Three patients had ocular hypertension (OHT, 8.1%), of which 1 had angle closure and 2 had an unknown angle status. The number of females with OHT was 2 (66.6%) and that of males was 1 (33.3%).
In the patients studied, the age range was broad and the majority of patients were male. OAG diagnosis was more frequent than ACG diagnosis. Both OAG and ACG were more prevalent in males while uveitis related OHT with no glaucoma was diagnosed in more females than males. Only a minority of patients developed OHT without glaucoma. One patient with OHT had angle closure and the status of angle in the other 2 patients was unknown.
This PDF is available to Subscribers Only