SECONDARY GLAUCOMA AFTER VITREORETINAL SURGERY: A RETROSPECTIVE OBSERVASIONAL STUDY Oral Presentation - Observational Study - Resident
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Secondary glaucoma, tamponade, vitreoretinal surgery, vitrectomy, silicone oil
Abstract
Introduction & Objectives
Secondary glaucoma is the most common complication after vitreoretinal surgery. Pars Plana
Vitrectomy (PPV) is a common surgical procedure aimed at removing vitreous gel and replacing it
with variety of substances denominated tamponades. Vitreous removal and replacement may cause
increased intraocular pressure (IOP). The IOP can be reduced with medical treatment or surgery.
The purpose of this study is to describe the characteristics of secondary glaucoma after vitreoretinal
surgery in National Eye Center Cicendo Hospital from January 2019 - December 2020.
Methods
This study was a retrospective descriptive study which data were obtained from medical records.
Data such as age, gender, vitrectomy tamponades, IOP, onset of glaucoma, and glaucoma treatment
were collected.
Results
One hundred fifty-three eyes were referred to Glaucoma Unit with increasing IOP after vitreoretinal
surgery. PPV with tamponade was done in 141 eyes (92.16%) and silicone oil (SO) 1000 centistokes
(cSt) was the most used tamponade in 101 eyes (66.07%). Secondary glaucoma with open angle was
the most common type in 124 eyes (81.04%). Secondary glaucoma developed in 4-7 weeks after
surgery, with the highest IOP recorded at 31-40 mmHg. The IOP decreased after SO evacuation with
initial glaucoma treatment in 121 eyes (79.09%), and glaucoma surgery was performed in 32 eyes
(20.91%).
Conclusion
Silicon oil as a tamponade agent after PPV may cause rise IOP in the post-operative period.
Evacuation SO needs to be done after retinal adhesion to prevent secondary glaucoma. Therefore,
timely detection and anti-glaucoma treatment are important to decreased IOP, or filtration surgery
can be performed.
Full text article
References
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Authors
Copyright (c) 2023 Liani Mulasari Gunawan, R. Maula Rifada, Elsa Gustianty, Sonie Umbara
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
