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