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Article: Evaluation of two different anterior vitrectomies for fluid misdirection syndrome secondary to cataract surgery combined with goniosynechialysis

TitleEvaluation of two different anterior vitrectomies for fluid misdirection syndrome secondary to cataract surgery combined with goniosynechialysis
Authors
KeywordsGlaucoma
Vitrectomy
Aqueous misdirection
Issue Date2020
PublisherHindawi Publishing Corporation. The Journal's web site is located at http://www.hindawi.com/journals/jop
Citation
Journal of Ophthalmology, 2020, v. 2020, p. article no. 1934086 How to Cite?
AbstractPurpose. To evaluate two different approaches of anterior vitrectomy combined with hyaloidotomy, zonulectomy, and iridectomy (VHZI) for fluid misdirection syndrome (FMS) secondary to phacoemulsification with intraocular lens implantation combined with goniosynechialysis (phaco-IOL-GSL). Methods. Nine patients with FMS who developed after a phaco-IOL-GSL procedure, were retrospectively studied from May 2015 to February 2018. They were treated with VHZI, in which 5 cases underwent local anterior vitrectomy via anterior chamber approach, and the others underwent comprehensive vitrectomy via pars plana approach. Main outcome measures were pre- and postoperative intraocular pressure (IOP), number of antiglaucoma medications, and relapse rate. Results. Incidence of FMS secondary to phaco-IOL-GSL was 1.4% (9 in 652 eyes), which was promptly resolved in all affected cases. VHZI via anterior chamber approach resulted in a significant decrease in the mean IOP from 40.2 ± 9.7 mm Hg at presentation to 15.2 ± 4.8 mm Hg postoperatively (P = 0.01). The median number of antiglaucoma medications reduced from 3 to 2 (P = 0.066). Meanwhile, VHZI via pars plana approach also resulted in the reduction of the mean IOP values from 26.0 ± 5.7 mm Hg at presentation to 15.2 ± 3.3 mm Hg postoperatively (P = 0.092). The median number of antiglaucoma medications also reduced from 3.5 to 1.5 (P = 0.059). Relapse rate of the treatment through pars plana approach (0%, 0/4) was much lower than that through anterior chamber approach (40%, 2/5), although the difference was not statistically significant (P = 0.444). Conclusions. FMS is a rare but severe complication secondary to phaco-IOL-GSL. Compared to VHZI with local anterior vitrectomy via anterior chamber approach, VHZI with comprehensive anterior vitrectomy via pars plana approach might be a more effective procedure to treat FMS. The study has been registered in Contact ClinicalTrials.gov PRS Identifier: NCT04172857. 1. Introduction In the past few years, phacoemulsification with in
Persistent Identifierhttp://hdl.handle.net/10722/282853
ISSN
2019 Impact Factor: 1.447
2015 SCImago Journal Rankings: 0.870
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorQian, Z-
dc.contributor.authorChan, YK-
dc.contributor.authorWei, L-
dc.contributor.authorZheng, B-
dc.contributor.authorNie, L-
dc.contributor.authorPan, W-
dc.date.accessioned2020-06-05T06:22:20Z-
dc.date.available2020-06-05T06:22:20Z-
dc.date.issued2020-
dc.identifier.citationJournal of Ophthalmology, 2020, v. 2020, p. article no. 1934086-
dc.identifier.issn2090-004X-
dc.identifier.urihttp://hdl.handle.net/10722/282853-
dc.description.abstractPurpose. To evaluate two different approaches of anterior vitrectomy combined with hyaloidotomy, zonulectomy, and iridectomy (VHZI) for fluid misdirection syndrome (FMS) secondary to phacoemulsification with intraocular lens implantation combined with goniosynechialysis (phaco-IOL-GSL). Methods. Nine patients with FMS who developed after a phaco-IOL-GSL procedure, were retrospectively studied from May 2015 to February 2018. They were treated with VHZI, in which 5 cases underwent local anterior vitrectomy via anterior chamber approach, and the others underwent comprehensive vitrectomy via pars plana approach. Main outcome measures were pre- and postoperative intraocular pressure (IOP), number of antiglaucoma medications, and relapse rate. Results. Incidence of FMS secondary to phaco-IOL-GSL was 1.4% (9 in 652 eyes), which was promptly resolved in all affected cases. VHZI via anterior chamber approach resulted in a significant decrease in the mean IOP from 40.2 ± 9.7 mm Hg at presentation to 15.2 ± 4.8 mm Hg postoperatively (P = 0.01). The median number of antiglaucoma medications reduced from 3 to 2 (P = 0.066). Meanwhile, VHZI via pars plana approach also resulted in the reduction of the mean IOP values from 26.0 ± 5.7 mm Hg at presentation to 15.2 ± 3.3 mm Hg postoperatively (P = 0.092). The median number of antiglaucoma medications also reduced from 3.5 to 1.5 (P = 0.059). Relapse rate of the treatment through pars plana approach (0%, 0/4) was much lower than that through anterior chamber approach (40%, 2/5), although the difference was not statistically significant (P = 0.444). Conclusions. FMS is a rare but severe complication secondary to phaco-IOL-GSL. Compared to VHZI with local anterior vitrectomy via anterior chamber approach, VHZI with comprehensive anterior vitrectomy via pars plana approach might be a more effective procedure to treat FMS. The study has been registered in Contact ClinicalTrials.gov PRS Identifier: NCT04172857. 1. Introduction In the past few years, phacoemulsification with in-
dc.languageeng-
dc.publisherHindawi Publishing Corporation. The Journal's web site is located at http://www.hindawi.com/journals/jop-
dc.relation.ispartofJournal of Ophthalmology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectGlaucoma-
dc.subjectVitrectomy-
dc.subjectAqueous misdirection-
dc.titleEvaluation of two different anterior vitrectomies for fluid misdirection syndrome secondary to cataract surgery combined with goniosynechialysis-
dc.typeArticle-
dc.identifier.emailChan, YK: josephyk@connect.hku.hk-
dc.identifier.authorityChan, YK=rp02536-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1155/2020/1934086-
dc.identifier.scopuseid_2-s2.0-85083104702-
dc.identifier.hkuros310044-
dc.identifier.volume2020-
dc.identifier.spagearticle no. 1934086-
dc.identifier.epagearticle no. 1934086-
dc.identifier.isiWOS:000524535200023-
dc.publisher.placeUnited States-
dc.identifier.issnl2090-004X-

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