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