July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Comparison of postoperative course of aponeurotic ptosis surgery in eyes with glaucoma filtration bleb and in eyes after intraocular surgery without bleb
Author Affiliations & Notes
  • Risako Yamamoto
    The university of Tokyo hospital, Tokyo , Japan
  • Rika Shirakawa
    The university of Tokyo hospital, Tokyo , Japan
  • Tetsuya Toyono
    The university of Tokyo hospital, Tokyo , Japan
  • Rei Sakata
    The university of Tokyo hospital, Tokyo , Japan
  • Reina Akiyama
    The university of Tokyo hospital, Tokyo , Japan
  • Yurika Aoyama
    The university of Tokyo hospital, Tokyo , Japan
  • Mika Noda
    The university of Tokyo hospital, Tokyo , Japan
    Keio university hospital, Tokyo, Japan
  • Junko Yoshida
    The university of Tokyo hospital, Tokyo , Japan
  • Takashi Miyai
    The university of Tokyo hospital, Tokyo , Japan
  • Tomohiko Usui
    The university of Tokyo hospital, Tokyo , Japan
  • Makoto Aihara
    The university of Tokyo hospital, Tokyo , Japan
  • Footnotes
    Commercial Relationships   Risako Yamamoto, None; Rika Shirakawa, Chuo Sangio (F); Tetsuya Toyono, None; Rei Sakata, None; Reina Akiyama, None; Yurika Aoyama, None; Mika Noda, None; Junko Yoshida, None; Takashi Miyai, Chuo Sangio (F); Tomohiko Usui, Senju, bonac (P); Makoto Aihara, None
  • Footnotes
    Support  No
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 87. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Risako Yamamoto, Rika Shirakawa, Tetsuya Toyono, Rei Sakata, Reina Akiyama, Yurika Aoyama, Mika Noda, Junko Yoshida, Takashi Miyai, Tomohiko Usui, Makoto Aihara; Comparison of postoperative course of aponeurotic ptosis surgery in eyes with glaucoma filtration bleb and in eyes after intraocular surgery without bleb. Invest. Ophthalmol. Vis. Sci. 2018;59(9):87.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose : The incidence of ptosis after trabeculectomy has been reported to be 12-19%. Ptosis surgeries in eyes with filtration bleb require careful consideration because overcorrection may result in bleb exposure which could increase the risk of blebtitis or endophthalmitis. But there are only few reports about safety of ptosis surgery after trabeculectomy. In this study, we compared postoperative course of aponeurotic ptosis surgery in eyes with bleb and those without bleb to assess efficacy and safety of ptosis surgery for eyes with filtration bleb.

Methods : Subjects were 45 eyes of 37 patients who had undergone aponeurotic ptosis surgery. We divided eyes into two groups, Bleb group (group B); ptosis with filtration blebs after trabeculectomy, and Non-Bleb group (group N); ptosis after other intraocular surgery. We evaluated preoperative levator function (LF), intraocular pressure (IOP), margin reflex distance (MRD) and tear meniscus height (TMH) measured by Keratogragh 5M (OCULUS Inc.), fluorescein staining score (FS:0-9), and Schirmer test (ST) at before (Pre), 1 month (POM1) and 3 months (POM3) after ptosis surgery. We also checked postoperative complications and patients’ satisfaction.

Results : Eighteen eyes of 17 patients (mean age 72.4 ± 10.6 years) were included in group B and 27 eyes of 20 patients (mean age 78.0 ± 6.2 years) were included in group N. Preoperative LF in group B and N were 11.1 ± 2.4 and 10.2 ± 2.3 mm. At pre / POM1 / POM3 in groupB and N, IOP were 11.9 ± 4.0 / 11.2 ± 3.3 / 12.1 ± 3.5 and 12.9 ± 3.6 / 13.1 ± 3.0 / 11.6 ± 2.3 mmHg, MRD were 0.4 ± 0.6 / 3.2 ± 1.3 / 2.6 ± 1.3 and 0.3 ± 0.6 / 2.7 ± 1.2 / 2.5 ± 1.2 mm, respectively. In group B, TMH were 0.4 ± 0.2 / 0.3 ± 0.2 / 0.4 ± 0.2 mm, FS were 1.1 ± 0.8 / 1.4 ± 0.9 / 1.6 ± 1.6 and ST were 10.9 ± 7.8 / 6.8 ± 6.4 / 8.5 ± 7.1 mm, respectively. In each measurement item, there was no statistically significant between group B and N. In group B, there was no case of leakage or infection of blebs after ptosis surgery. One eye showed recurrence of ptosis at POM1. In group N, there were two eyes which improved MRD, although the patients requested residual skin resection. In all other 43 eyes, subjective symptoms were improved.

Conclusions : Safety and efficacy of aponeurotic ptosis surgery for bleb eyes are equivalent to that of ptosis surgery after other intraocular surgeries.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×