scholarly journals Weekly fluctuation of intraocular pressure in exfoliation glaucoma: long-term follow-up with self-tonometry

2018 ◽  
Vol 96 (8) ◽  
pp. e1035-e1037 ◽  
Author(s):  
Ahti Tarkkanen ◽  
Tero Kivelä
Keyword(s):  
Intraocular Pressure ◽  
Exfoliation Glaucoma ◽  
Long Term Follow Up

scholarly journals Long-term follow-up of intraocular pressure and pressure-lowering medication in patients following Excimer laser trabeculotomy

2020 ◽  
Author(s):  
C. Deubel ◽  
D. Böhringer ◽  
A. Anton ◽  
T. Reinhard ◽  
J. Lübke
Keyword(s):  
Intraocular Pressure ◽  
Minimally Invasive ◽  
Cataract Surgery ◽  
Excimer Laser ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Long Term Follow Up ◽  
Excimer Laser Trabeculotomy

Abstract Background Excimer laser trabeculotomy (ELT) is a minimally invasive procedure to lower the intraocular pressure (IOP) via a photo-ablative laser that is applied to the trabecular meshwork. With this procedure, it is possible to improve the outflow of the aqueous humor. Until now, a limited number of studies examining mostly relatively small sample sizes with midterm follow-up exist. We therefore present the analysis of a large ELT cohort in a long-term follow-up. Methods We recorded data from 580 patients who underwent ELT or combined ELT with cataract surgery at our institution from November 2000 until March 2011. A total of 512 patients with primary open angle glaucoma (POAG), pseudoexfoliation glaucoma (PEX), and ocular hypertension (OHT) were included in the analysis. At every follow-up examination, the usage of IOP-lowering medication and the IOP were recorded. Failure criteria were defined as the need for another surgical glaucoma procedure, when the IOP was not 21 mmHg or less and a reduction of 20% from the baseline was not achieved with (qualified success) or without (absolute success) additional medication. Statistical analysis was done using Kaplan-Meier analysis and Cox regression. Results Four hundred twenty-eight patients underwent combined cataract and ELT surgery, and 84 underwent solitary ELT surgery. After a median follow-up time of 656 days, 87% (combined surgery) and 66% (ELT) of the patients did not have to undergo another IOP-lowering intervention; 47/31% were classified as a qualified success and 31/11% as a complete success. The IOP-lowering medication, however, could not be significantly reduced within that time period. Conclusion Especially when combined with cataract surgery, ELT is a feasible minimally invasive procedure to lower the IOP on a mid- to long-term basis. Over the long term, however, IOP-lowering medication could not be reduced.

Trabectome, trabecular aspiration and phacoemulsification in a triple procedure for treating exfoliation glaucoma: A long-term follow-up

2020 ◽  
pp. 112067212095650
Author(s):  
Randolf Alexander Widder ◽  
Matthias Hild ◽  
Thomas Stefan Dietlein ◽  
Pia Kühnrich ◽  
Corinna Rennings ◽  
...  
Keyword(s):  
Success Rates ◽  
Exfoliation Glaucoma ◽  
Medication Score ◽  
Triple Procedure ◽  
Trabecular Aspiration ◽  
Long Term Follow Up ◽  
The Mean ◽  
Tube Versus

Purpose: This study investigates the long-term intraocular pressure (IOP) lowering potential, risk profile and success rate of a triple procedure comprising phacoemulsification, trabecular aspiration and trabectome (Microsurgical Technology, Redmond, WA, USA) for treating exfoliation glaucoma. Methods: A total of 117 eyes of 117 patients with exfoliation glaucoma underwent a combination of phacoemulsification, trabectome and trabecular aspiration. They were followed up for up to 7 years. The success rates were designated according to criteria based on the Tube versus Trabeculectomy Study and the World Glaucoma Association guidelines: A (no resurgery); B/C (IOP < 21/18 mmHg, no resurgery, IOP reduction > 20%); D (IOP ⩽ 15 mmHg, no resurgery, IOP reduction ⩾ 40%). Results: The mean follow-up period was 46 months. IOP showed a 38% reduction from 24.5 ± 6.1 to 15.2 ± 3.6 mmHg ( p < 0.0001). The Medication Score decreased by 23% from 2.2 ± 0.9 to 1.7 ±1.0 ( p < 0.0001). The success rates were 87, 76, 74 and 38% according to criteria A, B, C and D. In eyes with an initial IOP of >30 mmHg, a 57% reduction from 34.2 ± 4.4 to 14.8 ± 3.2 mmHg ( p < 0.0001) was observed, and the success rates were 91, 91, 82 and 59% for criteria A, B, C and D, respectively. Discussion: We conclude that the triple procedure may effectively lower IOP in patients with exfoliation glaucoma over a mean follow-up period of 46 months without significant side effects. Therefore, the triple procedure may serve as first-line surgery for patients with exfoliation and cataract, even with a high initial IOP.

Presentation and Long-Term follow-up of Exfoliation Glaucoma in Greece, Spain, Russia, and Hungary

2006 ◽  
Vol 16 (1) ◽  
pp. 60-66 ◽  
Author(s):  
A.G.P. Konstas ◽  
G. Hollo ◽  
Y.S. Astakhov ◽  
M.A. Teus ◽  
E.L. Akopov ◽  
...  
Keyword(s):  
Exfoliation Glaucoma ◽  
Long Term Follow Up

Retinectomy Lowers Intraocular Pressure in Otherwise Intractable Glaucoma. Long-Term Follow-Up

2000 ◽  
pp. 249-252
Author(s):  
B. Kirchhof ◽  
K.-U. Bartz-Schmidt ◽  
G. K. Krieglstein ◽  
K. Heimann
Keyword(s):  
Intraocular Pressure ◽  
Long Term Follow Up ◽  
Intractable Glaucoma

Long-term Follow-up of Pseudoexfoliation and the Development of Elevated Intraocular Pressure

Ophthalmology ◽  
1987 ◽  
Vol 94 (5) ◽  
pp. 545-552 ◽  
Author(s):  
J. Charles Henry ◽  
Theodore Krupin ◽  
Michael Schmitt ◽  
Jason Lauffer ◽  
Eva Miller ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Elevated Intraocular Pressure ◽  
Long Term Follow Up

Long-Term Follow-Up of Intraocular Pressure After Penetrating Keratoplasty for Keratoconus and Fuchs' Dystrophy

Cornea ◽  
2002 ◽  
Vol 21 (4) ◽  
pp. 368-373 ◽  
Author(s):  
Berthold Seitz ◽  
Achim Langenbucher ◽  
Nhung X. Nguyen ◽  
Michael Küchle ◽  
Gottfried O.H. Naumann
Keyword(s):  
Intraocular Pressure ◽  
Penetrating Keratoplasty ◽  
Long Term Follow Up ◽  
Fuchs Dystrophy

scholarly journals Long-term Follow-up of Patients receiving Intraocular Pressure-lowering Medications as Cataract Surgery Candidates: A Case—control Study

2017 ◽  
Vol 11 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Georgios Bontzos ◽  
Michail Agiorgiotakis ◽  
Efstathios T Detorakis
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Case Control Study ◽  
Cataract Extraction ◽  
Control Group ◽  
Pressure Lowering ◽  
Long Term Follow Up ◽  
Control Study

ABSTRACT Aim In this study, we reviewed demographics and biometric characteristics among patients receiving chronic β-blockers and prostaglandins (PGs) for primary open-angle glaucoma. We compared the age at the time of cataract surgery in different patient groups and in a control group which was not under any medication. Materials and methods Retrospective chart review of glaucomatous patients who underwent cataract extraction at the Department of Ophthalmology of the University Hospital of Heraklion, Crete, Greece, between January 1998 and December 2016 was done. Age at cataract surgery, axial length (AL), and preoperative and postoperative best-corrected visual acuities (BCVAs) were recorded. A cohort of patients without glaucoma who were operated for cataract extraction was also evaluated. Results In all, 320 patients were reviewed. There were significant results in mean age difference between the beta-antagonist and the PG group [3.05 years, 95% confidence interval (CI) 1.54-4.57] and between the beta-antagonist group with the patients receiving a combined therapy (3.02 years, 95% CI 1.14-4.91). No significant difference was found between the PG and the combination group. All the three treated groups had a significant lower mean age than the control group at the time of cataract surgery. Conclusion Based on our study, we concluded that there might be a possible association between chronic treatment with beta-antagonist agents and earlier cataract surgical time in the treated eye. Clinical significance Intraocular pressure control is often usually achieved using ophthalmic agents. Their topical and systemic effects should be monitored precisely. Earlier cataract formation might be an important side effect which the physician has to keep in mind before choosing the suitable medication. How to cite this article Bontzos G, Agiorgiotakis M, Detorakis ET. Long-term Follow-up of Patients receiving Intraocular Pressure-lowering Medications as Cataract Surgery Candidates: A Case—control Study. J Curr Glaucoma Pract 2017;11(3):107-112.

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