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       XXIII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و سومین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Lens Extraction for the Management of Coexisting Cataract and Post-filtering Ocular Hypotony
Author(s): Ghasem Fakhraie, Zahra Mohajernezhad-Fard , Sasan Moghimi, Yadollah Eslami, Reza Zarei, Massood Mohammadi, Zakieh Vahedian, Vafa Samarai, Hadi Ghadimi, Mahla Shadravan, Nina Faramarzi
Presentation Type: Oral
Subject: Glaucoma
Others:
Presenting Author:
Name: Zakieh Vahedian
Affiliation :(optional) Glaucoma Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
E mail: vahedian.z@gmail.com
Phone:
Mobile: 09121947330
Purpose:

To evaluate the safety and efficacy of phacoemulsification for the management of post-filtering ocular hypotony.

Methods:

This prospective interventional case series study recruited 21 consecutive patients with the diagnosis of ocular hypotony with or without maculopathy. Clear corneal incision phacoemulsification was done for them. Nineteen cases that completed a follow up of at least six months were considered for the analysis.

Results:

Mean baseline intraocular pressure (IOP) was 2.95±1.43 mm Hg which increased to 8.84± 4.67 mm Hg at six months (p< 0.001). Hypotony was resolved in 13 cases (68%) at six months and six cases (32%) showed persistent hypotony at that follow up time point. Postoperative IOP change at any follow up time point was not correlated with patients’ age, interval time between the filtering surgery and phacoemulsification, baseline IOP, baseline anterior chamber depth and postoperative day one IOP. Three cases (16%) showed filtering bleb failure with dramatic IOP rise, all around the postoperative first month and needed glaucoma medication for IOP control. No significant intra- and postoperative complications were noted.

Conclusion:

Cataract surgery alone seems promising in post-filtering ocular hypotony, and can be considered as an effective modality of treatment before proceeding to other more complicated procedures.

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  - بـیــست و سومین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران