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Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery

PURPOSE: The aim of this study was twofold: first, to evaluate the predisposing factors for occurrence of malignant glaucoma and second, to compare frequency of malignant glaucoma depending on the type of primary glaucoma surgery. METHODS: Retrospective analysis was performed in 1689 consecutive pat...

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Autores principales: Krix-Jachym, Karolina, Żarnowski, Tomasz, Rękas, Marek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613646/
https://www.ncbi.nlm.nih.gov/pubmed/29138695
http://dx.doi.org/10.1155/2017/9616738
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author Krix-Jachym, Karolina
Żarnowski, Tomasz
Rękas, Marek
author_facet Krix-Jachym, Karolina
Żarnowski, Tomasz
Rękas, Marek
author_sort Krix-Jachym, Karolina
collection PubMed
description PURPOSE: The aim of this study was twofold: first, to evaluate the predisposing factors for occurrence of malignant glaucoma and second, to compare frequency of malignant glaucoma depending on the type of primary glaucoma surgery. METHODS: Retrospective analysis was performed in 1689 consecutive patients who underwent glaucoma surgery alone or combined with phacoemulsification. Data collected included the type of surgery, width of the filtration angle, presence or absence of malignant glaucoma in the postoperative period, and time from the primary surgery to malignant glaucoma occurrence. RESULTS: Malignant glaucoma occurred in 22 eyes that amounted to 1.3% of cases among all surgery performed. Mean time from glaucoma surgery to malignant glaucoma occurrence was 61.4 ± 190.5 days. Among patients with penetrating surgery, malignant glaucoma occurred in 2.3% of patients, whereas after nonpenetrating operations, such complication was not found (p = 0.00004). Malignant glaucoma occurred more often in patients with shallow iridocorneal angle (p = 0.0013). CONCLUSIONS: The risk of malignant glaucoma development is associated with penetrating characteristic of glaucoma surgery, after which this complication appears and its occurrence is higher in eyes with shallow iridocorneal angle. The risk of malignant glaucoma after trabeculectomy compared to iridencleisis as well as after phacotrabeculectomy compared to phacoiridencleisis is equivalent.
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spelling pubmed-56136462017-11-14 Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery Krix-Jachym, Karolina Żarnowski, Tomasz Rękas, Marek J Ophthalmol Research Article PURPOSE: The aim of this study was twofold: first, to evaluate the predisposing factors for occurrence of malignant glaucoma and second, to compare frequency of malignant glaucoma depending on the type of primary glaucoma surgery. METHODS: Retrospective analysis was performed in 1689 consecutive patients who underwent glaucoma surgery alone or combined with phacoemulsification. Data collected included the type of surgery, width of the filtration angle, presence or absence of malignant glaucoma in the postoperative period, and time from the primary surgery to malignant glaucoma occurrence. RESULTS: Malignant glaucoma occurred in 22 eyes that amounted to 1.3% of cases among all surgery performed. Mean time from glaucoma surgery to malignant glaucoma occurrence was 61.4 ± 190.5 days. Among patients with penetrating surgery, malignant glaucoma occurred in 2.3% of patients, whereas after nonpenetrating operations, such complication was not found (p = 0.00004). Malignant glaucoma occurred more often in patients with shallow iridocorneal angle (p = 0.0013). CONCLUSIONS: The risk of malignant glaucoma development is associated with penetrating characteristic of glaucoma surgery, after which this complication appears and its occurrence is higher in eyes with shallow iridocorneal angle. The risk of malignant glaucoma after trabeculectomy compared to iridencleisis as well as after phacotrabeculectomy compared to phacoiridencleisis is equivalent. Hindawi 2017 2017-08-24 /pmc/articles/PMC5613646/ /pubmed/29138695 http://dx.doi.org/10.1155/2017/9616738 Text en Copyright © 2017 Karolina Krix-Jachym et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Krix-Jachym, Karolina
Żarnowski, Tomasz
Rękas, Marek
Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title_full Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title_fullStr Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title_full_unstemmed Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title_short Risk Factors of Malignant Glaucoma Occurrence after Glaucoma Surgery
title_sort risk factors of malignant glaucoma occurrence after glaucoma surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613646/
https://www.ncbi.nlm.nih.gov/pubmed/29138695
http://dx.doi.org/10.1155/2017/9616738
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