Intraocular pressure elevation after uncomplicated pars plana vitrectomy: Results of the pan American collaborative retina study group

PURPOSE:: To compare the incident rates of sustained elevation of intraocular pressure (IOP) after uncomplicated pars plana vitrectomy for idiopathic epiretinal membrane and the unoperated fellow eye. METHODS:: Retrospective multicenter study of 198 patients who underwent pars plana vitrectomy for a...

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Autores:
Tipo de recurso:
Fecha de publicación:
2014
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22938
Acceso en línea:
https://doi.org/10.1097/IAE.0000000000000189
https://repository.urosario.edu.co/handle/10336/22938
Palabra clave:
Adolescent
Adult
Age
Aged
Article
Cataract extraction
Cohort analysis
Epiretinal membrane
Family history
Female
Follow up
Glaucoma
Human
Idiopathic epiretinal membrane
Intraocular pressure
Major clinical study
Male
Multicenter study
Open angle glaucoma
Outcome assessment
Pars plana vitrectomy
Phacoemulsification
Pseudophakia
Retrospective study
Sex difference
Very elderly
Vitrectomy
Clinical trial
Comparative study
Incidence
Middle aged
Ocular hypertension
Ophthalmology
Organization and management
Postoperative complication
Risk factor
World health organization
Young adult
Adolescent
Adult
Aged
Aged, 80 and over
Epiretinal membrane
Female
Follow-up studies
Humans
Incidence
Intraocular pressure
Male
Middle aged
Ocular hypertension
Ophthalmology
Pan american health organization
Postoperative complications
Retrospective studies
Risk factors
Vitrectomy
Young adult
Epiretinal membrane
Intraocular pressure
Ocular hypertension
Open-angle glaucoma
Oxidative stress
Oxygen
Vitrectomy
Rights
License
Abierto (Texto Completo)
Description
Summary:PURPOSE:: To compare the incident rates of sustained elevation of intraocular pressure (IOP) after uncomplicated pars plana vitrectomy for idiopathic epiretinal membrane and the unoperated fellow eye. METHODS:: Retrospective multicenter study of 198 patients who underwent pars plana vitrectomy for an idiopathic epiretinal membrane that was followed for at least 12 months. The diagnosis of sustained IOP elevation was defined as an elevation of IOP ? 24 mmHg or an increase of ? 5 mmHg in the IOP from baseline on 2 separate visits that warranted the initiation of ocular hypotensive therapy. The main outcome measured was the development of sustained IOP elevation as defined above. RESULTS:: Patients were followed for an average of 47.3 ± 24 months (range, 12-106 months). In the vitrectomized eyes, 38 of the 198 (19.2%) patients developed elevated IOP compared with 9 of the 198 (4.5%) unoperated fellow eyes (P less than 0.0001, Fisher exact test; odds ratio, 4.988). Possible risk factors include a family history of open-angle glaucoma (P = 0.0004 Fisher exact test; odds ratio, 7.206) and cataract surgery (P = 0.0270 Fisher exact test; odds ratio, 2.506). CONCLUSION:: Uncomplicated PPV seems to increase the IOP, particularly in those who are pseudophakic and have a family history of open-angle glaucoma. This increase in IOP may lead to glaucomatous damage if not managed appropriately. Patients with a previous PPV need to be followed by an ophthalmologist to monitor the IOP in the vitrectomized eye. Copyright © by Ophthalmic Communications Society, Inc.