Incidence of Late-onset Ocular Hypertension Following Uncomplicated Pars Plana Vitrectomy in Pseudophakic Eyes
Incidence of Late-onset Ocular Hypertension Following Uncomplicated Pars Plana Vitrectomy in Pseudophakic Eyes
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DOI：
10.1016/j.ajo.2015.01.010
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发表时间：
2015-04-01
影响因子：
4.2
通讯作者：
Kuroda, Shinichiro
中科院分区：
文献类型：
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作者：
Toyokawa, Noriko;Kimura, Hideya;Kuroda, Shinichiro
目的：探讨无并发症的开角假晶状眼玻璃体切除术后迟发性高眼压的发生率。设计：回顾性观察性病例系列。方法：对767例玻璃体切除术合并1眼白内障手术患者767只眼进行研究。其中男性383人，女性384人。玻璃体切除术指征为：孔源性视网膜脱离308眼，视网膜前膜202眼，黄斑裂孔169眼，玻璃体出血44眼，视网膜下出血16眼，玻璃体黄斑牵引综合征15眼，玻璃体混浊12眼，视网膜裂1眼。其中，有176只眼睛因为先前的白内障手术而单独接受了玻璃体切除术。迟发性高眼压被定义为术后2个月以上至少2次术后就诊的眼压（IOP）达到21 mm Hg。IOP比术前TOP升高0.4 mm Hg是必要的。排除高眼压、青光眼（可疑）或KW升高的可能性。结果：患者平均年龄63±11岁。玻璃体切除术后的平均随访时间为47.8±25.3个月。32只眼（4.2%）出现晚发型高眼压。平均年龄60±10岁。玻璃体切除术与眼压升高之间的平均间隔为31.1±26.0个月。晚发型高眼压的发生率、玻璃体切除术的玻璃体视网膜病变、性别、玻璃体切除术器械的规格无显著差异。结论：玻璃体切除术后需长期进行TOP监测。(C) 2015年Elsevier Inc.版权所有。
PURPOSE: To determine the incidence of late-onset ocular hypertension following uncomplicated vitrectomy in pseudophakic eyes with an open angle.DESIGN: A retrospective observational case series.METHODS: Seven hundred and sixty-seven eyes of 767 patients that underwent vitrectomy combined with cataract surgery in 1 eye were studied. There were 383 men and 384 women. The indications for vitrectomy were: 308 eyes with rhegmatogenous retinal detachment, 202 eyes with epiretinal membrane, 169 eyes with macular hole, 44 eyes with vitreous hemorrhage, 16 eyes with subretinal hemorrhage, 15 eyes with vitreomacular traction syndrome, 12 eyes with vitreous opacity, and 1 eye with retinoschisis. Of these, 176 eyes underwent vitrectomy alone because of previous cataract surgery. Late-onset ocular hypertension was defined as an intraocular pressure (IOP) > 21 mm Hg that developed more than 2 months postoperatively in at least 2 postoperative visits. An increase in the IOP > 4 mm Hg over the preoperative TOP was necessary. Eyes with ocular hypertension, glaucoma (suspect), or a possibility of KW elevation were excluded.RESULTS: The mean age was 63 +/- 11 years. The mean follow-up duration after vitrectomy was 47.8 +/- 25.3 months. Thirty-two eyes (4.2%) developed late-onset ocular hypertension. The mean age was 60 +/- 10 years. The mean interval between vitrectomy and development of ocular hypertension was 31.1 +/- 26.0 months. There were no significant differences in the incidence of late-onset ocular hypertension and the vitreoretinal disease for vitrectomy, sex, or gauge of instruments for vitrectomy.CONCLUSION: Long-term TOP monitoring is necessary after vitrectomy. (C) 2015 by Elsevier Inc. All rights reserved.