Early Postoperative Hypotony and Ciliochoroidal Detachment After Microincision Vitrectomy Surgery - 17/05/12
, Maiko Inoue, Akira Arakawa, Kazuaki Kadonosono
Inquiries to Shin Yamane, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa 232-0024, JapanRésumé |
Purpose |
To determine the relationship between a ciliochoroidal detachment and intraocular pressure (IOP) after microincision vitrectomy surgery (MIVS).
Design |
Prospective, consecutive, observational case series.
Methods |
Thirty eyes of 30 patients with an epiretinal membrane that underwent MIVS were prospectively studied. The intraocular pressure (IOP) was measured before 3-port MIVS, and at 1 minute, 1 and 3 hours, and at 1 day postoperatively. All of the 90 sclerotomies were examined by swept source optical coherence tomography to assess the wound and presence of a ciliochoroidal detachment at 3 hours and at 1 day postoperatively. The mean IOP and closure rate of the sclerotomies were compared between eyes with and without a ciliochoroidal detachment. The correlation between the presence of ciliochoroidal detachment and postoperative IOP was determined.
Results |
The incidence of ciliochoroidal detachment was 63.3% (19 eyes) during the 1-day observation period. The mean postoperative IOPs were significantly lower than the preoperative IOPs in eyes with a ciliochoroidal detachment (P < .05). The mean postoperative IOPs were significantly higher in eyes without a ciliochoroidal detachment than in eyes with a ciliochoroidal detachment (P < .05). The incidence of open sclerotomies was significantly higher in eyes with a ciliochoroidal detachment than in eyes without a ciliochoroidal detachment at 3 hours postoperatively (P = .03).
Conclusions |
A shallow ciliochoroidal detachment develops in 63.3% of eyes after MIVS. Hypotony at the early postoperative period may be a risk factor for a ciliochoroidal detachment.
Le texte complet de cet article est disponible en PDF.Plan
Vol 153 - N° 6
P. 1099 - juin 2012 Retour au numéro
Article précédent
- Outcomes of Trabeculectomy After Descemet Stripping Automated Endothelial Keratoplasty: A Comparison With Penetrating Keratoplasty
- Pui Yi Boey, Jodhbir S. Mehta, Ching Lin Ho, Donald T.H. Tan, Tina T. Wong
- The Short-term Effects of Antioxidant and Zinc Supplements on Oxidative Stress Biomarker Levels in Plasma: A Pilot Investigation
- Milam A. Brantley, Melissa P. Osborn, Barton J. Sanders, Kasra A. Rezaei, Pengcheng Lu, Chun Li, Ginger L. Milne, Jiyang Cai, Paul Sternberg
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?