Abstract | BACKGROUND AND OBJECTIVE: To evaluate the efficacy of endocyclophotocoagulation (ECP) in patients undergoing pars plana vitrectomy for vitreoretinal disease with medically uncontrolled glaucoma. PATIENTS AND METHODS: This is a retrospective review of 12 patients who underwent 270° ECP following vitrectomy. RESULTS: Ten of the 12 patients had excellent intraocular pressure (IOP) control postoperatively, without medication in four patients and with reduced medication in six patients. IOP decreased from 26.3 ± 12.9 to 17.9 ± 6.0 at 1 month (P = .03) and 16.9 ± 4.4 at 3 months postoperatively (P = .02). Best corrected visual acuity was improved by 1 month postoperatively. The number of glaucoma agents decreased from 2.7 ± 1.1 to 1.3 ± 1.3 (P = .03). One patient with neovascular glaucoma developed hypotony. Postoperative inflammation or discomfort did not exceed what was expected for a standard vitrectomy in any patient. CONCLUSION:
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Authors | Ian R Gorovoy, Andrew W Eller |
Journal | Ophthalmic surgery, lasers & imaging retina
(Ophthalmic Surg Lasers Imaging Retina)
2013 May-Jun
Vol. 44
Issue 3
Pg. 243-7
ISSN: 2325-8179 [Electronic] United States |
PMID | 23676225
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright 2013, SLACK Incorporated. |
Chemical References |
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Topics |
- Antihypertensive Agents
(therapeutic use)
- Combined Modality Therapy
- Glaucoma
(physiopathology, surgery)
- Humans
- Intraocular Pressure
(physiology)
- Light Coagulation
(adverse effects, methods)
- Retrospective Studies
- Uvea
(surgery)
- Visual Acuity
(physiology)
- Vitrectomy
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