Retrocorneal membrane interception enhanced penetrating canaloplasty for patients with open angle glaucoma secondary to ICE syndrome

被引：0
作者：
Zhou, Mengtian [1 ,2 ,3 ]
Zhu, Shuqing [1 ,2 ,3 ]
Li, Haoyu [1 ,2 ,3 ]
Ye, Wenqing [1 ,2 ,3 ]
Xu, Shuxia [1 ,2 ,3 ]
Lin, Haishuang [1 ,2 ,3 ]
Li, Jinxin [1 ,2 ,3 ]
Chen, Jinyuan [4 ]
Zhang, Shaodan [1 ,2 ,3 ]
Tham, Clement C. [5 ]
Wang, Ningli [6 ,7 ]
Liang, Yuanbo [1 ,2 ,3 ]
机构：
[1] Wenzhou Med Univ, Eye Hosp, Sch Ophthalmol & Optometry, Wenzhou, Peoples R China
[2] Wenzhou Med Univ, Glaucoma Res Inst, Wenzhou, Peoples R China
[3] Wenzhou Med Univ, Eye Hosp, Glaucoma Res Inst, Natl Clin Res Ctr Ocular Dis, Wenzhou 325027, Zhejiang, Peoples R China
[4] Fujian Med Univ, Affiliated Hosp 1, Dept Ophthalmol, Fuzhou, Peoples R China
[5] Chinese Univ Hong Kong, Dept Ophthalmol & Visual Sci, Sha Tin, Hong Kong, Peoples R China
[6] Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Key Lab Ophthalmol & Visual Sci, Beijing Tongren Hosp,Beijing Inst Ophthalmol, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China
[7] Beijing Inst Ophthalmol, Beijing, Peoples R China
来源：
INTERNATIONAL OPHTHALMOLOGY | 2024年 / 44卷 / 01期
关键词：
Bleb-independent filtering surgery; Intraocular pressure; Penetrating canaloplasty; Retrocorneal membrane interception; Iridocorneal endothelial syndrome; Glaucoma; IRIDOCORNEAL ENDOTHELIAL SYNDROME; SURGICAL OUTCOMES; MITOMYCIN-C; TRABECULECTOMY; SPECTRUM;
D O I：
10.1007/s10792-024-03211-9
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
IntroductionTo assess the efficacy and safety of retrocorneal membrane interception (RMI)-enhanced penetrating canaloplasty in glaucoma secondary to iridocorneal endothelial syndrome (GS-ICE) with open angle or small peripheral anterior synechiae (PAS).MethodsA series of 13 patients (13 eyes) with GS-ICE and uncontrolled intraocular pressure (IOP) underwent RMI-enhanced penetrating canaloplasty from March 2019 to October 2020. The patients were followed up at one week, 1 month, 3 months, 6 months, and 12 months, postoperatively. The main outcome measure was surgical success, which was defined as an IOP <= 18 mmHg or <= 21 mmHg, with glaucoma medications (qualified success), or without glaucoma medications (complete success). Secondary outcome measures were IOP, medication usage, and surgical complications.ResultsAmong the 13 GS-ICE eyes, 12 (92%) achieved qualified success and 10 (77%) achieved complete success at 12 months postoperatively. The mean IOP decreased from 36.41 +/- 8.92 mmHg on 3.0 (IQR 0.5) medications before surgery to 17.09 +/- 7.71 mmHg (p = 0.0004) on 0.0 (IQR 0.5) medications (p = 0.0004) at 12 months after surgery. Transient hypotony (38%) and hyphema (38%) were the most common complications.ConclusionsRMI-enhanced penetrating canaloplasty appears effective and safe in treating GS-ICE with open angle or small PAS up to one year of follow up.
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页数：10
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