Abstract | PURPOSE: DESIGN: Noncomparative, retrospective case series. PARTICIPANTS: MAIN OUTCOME MEASURES: Intraocular pressure (IOP), number of glaucoma medications, and further surgical interventions were measured. RESULTS: With a median follow-up of 55 months, four eyes had adequate IOP control (IOP <21 mm Hg) with one or two medications after the initial aqueous shunt surgery. An additional three eyes achieved adequate IOP control after one or more tube repositionings or revisions of the initial aqueous shunt. In this series, the aqueous shunt surgery most often failed because of blocking of the tube ostium by iris, ICE membrane, or membrane-induced tube migration. CONCLUSION:
Aqueous shunt surgery appears to be an effective method for IOP lowering in some eyes with ICE syndrome-related glaucoma when medical treatment or conventional filtration surgeries fail, but additional glaucoma procedures and/or aqueous shunt revisions and tube repositionings are not uncommon.
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Authors | D K Kim, I M Aslanides, C M Schmidt Jr, G L Spaeth, R P Wilson, J J Augsburger |
Journal | Ophthalmology
(Ophthalmology)
Vol. 106
Issue 5
Pg. 1030-4
(May 1999)
ISSN: 0161-6420 [Print] United States |
PMID | 10328409
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Aqueous Humor
(metabolism)
- Corneal Diseases
(complications)
- Endothelium, Corneal
(pathology)
- Female
- Follow-Up Studies
- Glaucoma
(complications, metabolism, surgery)
- Glaucoma Drainage Implants
- Humans
- Intraocular Pressure
- Iris Diseases
(complications)
- Middle Aged
- Reoperation
- Retrospective Studies
- Syndrome
- Treatment Outcome
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