Sequential Serous Choroidal Detachment in Subjects Undergoing Bilateral Trabeculectomy.

Purpose: This study aims to assess the incidence of serous choroidal detachment (SCD) in the second eye of patients undergoing bilateral trabeculectomy (BT) and evaluate its impact on the clinical outcomes and failure rate of trabeculectomy in the second-operated eyes. Methods: This retrospective ca...

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Publicado en:Journal of Ophthalmic & Vision Research Vol. 19; no. 4; pp. 421 - 433
Autores principales: Yadgari, Maryam, Hassanpour, Kiana, Vafaei, Fatemeh, Firoozian, Nina, Yazdani, Maryam Oraee, Khorrami, Zahra, Hooshmandi, Sadid
Formato: research tables/charts Journal Article
Publicado: Knowledge E DMCC Oct-Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2024
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        atl: Sequential Serous Choroidal Detachment in Subjects Undergoing Bilateral Trabeculectomy.
      aug:
        au:
          Yadgari, Maryam
          Hassanpour, Kiana
          Vafaei, Fatemeh
          Firoozian, Nina
          Yazdani, Maryam Oraee
          Khorrami, Zahra
          Hooshmandi, Sadid
        affil: Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Uveal Diseases
          Trabeculectomy
          Glaucoma Surgery
          Intraocular Pressure
          Treatment Outcomes Evaluation
          Human
          Male
          Female
          Adult
          Retrospective Design
          Case Control Studies
          Middle Age
          Aged
          Postoperative Complications
          Visual Acuity
          Surgery, Operative Methods
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: This study aims to assess the incidence of serous choroidal detachment (SCD) in the second eye of patients undergoing bilateral trabeculectomy (BT) and evaluate its impact on the clinical outcomes and failure rate of trabeculectomy in the second-operated eyes. Methods: This retrospective case--control study analyzed 90 eyes of 45 patients who underwent BT. Surgical success was defined as maintaining intraocular pressure (IOP) between 5 and 21 mmHg, requiring no additional glaucoma surgery, and exhibiting a visual acuity of at least light perception. Relevant patient data, such as age, glaucoma type, systemic diseases, preoperative and postoperative IOP, and complications, were extracted from medical records. Results: The mean age of patients was 59.8 ± 11.1 years. The five-year cumulative probability of success in the first- and second-operated eyes was 61.0% and 67.6%, respectively (log rank = 0.085, P = 0.77). Among the participants, 28.9% experienced SCD, and 76.9% of those who had SCD in the first-operated eye developed the same condition in the second eye as well (P < 0.001). In the first-operated eyes, the five-year cumulative probability of survival was 71.7% without SCD and 35.0% with SCD (log rank = 2.59, P = 0.107). Conclusion: The occurrence of SCD in the first eye following trabeculectomy may indicate a predisposition to its development in the second eye during BT. Furthermore, the surgical success rate of the second-operated eye is comparable to the outcomes of the first eye undergoing BT.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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