May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Efficacy and Postoperative Course of Trabeculectomy versus Aqueous Drainage Device in Uveitis Patients
Author Affiliations & Notes
  • I. Azaryan
    Uveitis, New-York Eye and Ear Infirmary, Mahattan, New York
  • M. C.Samson
    Uveitis, New-York Eye and Ear Infirmary, Mahattan, New York
  • S. Kedhar
    Uveitis, New-York Eye and Ear Infirmary, Mahattan, New York
  • A. Ali
    Uveitis, New-York Eye and Ear Infirmary, Mahattan, New York
  • Footnotes
    Commercial Relationships  I. Azaryan, None; M. C.Samson, None; S. Kedhar, None; A. Ali, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 1255. doi:https://doi.org/
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      I. Azaryan, M. C.Samson, S. Kedhar, A. Ali; Efficacy and Postoperative Course of Trabeculectomy versus Aqueous Drainage Device in Uveitis Patients. Invest. Ophthalmol. Vis. Sci. 2008;49(13):1255. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : Comparative study to evaluate the efficacy and postoperative course of trabeculectomy versus aqueous drainage device in uveitis patient.

Methods: : We reviewed 824 uveitis patients seen from June 2002 to June 2006. 296 (35.9%) patients had a diagnosis of secondary glaucoma, with 55 (18.6%) eyes required glaucoma surgery. Failure of the surgery was defined as IOP above 21mmHg, IOP below 4 mmHg, or the use of more than one glaucoma medication to lower IOP below 21. Uncontrolled postoperative uveitis was defined as >1+ cell in the anterior chamber or more than +1 vitreous haze (NIH grading system) at the two month postoperative visit.

Results: : The success rate of trabeculectomy was 84% compared to 74% in ADD at the 12 month follow-up; these difference of these rates was not statistically significant (P>0.05). Postoperative inflammation was equally controlled in the two groups at the two month and twelve month postoperative visits

Conclusions: : Our study does not demonstrate a superiority of either type of glaucoma surgery in controlling intraocular pressure in uveitis patients. Inflammation was controlled equally well in each type of glaucoma surgery with an appropriately aggressive anti-inflammatory regimen in the pre- and post-operative periods.

Keywords: uvea • autoimmune disease • intraocular pressure 
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