Biomaterial Database

[Surgical treatment of secondary glaucoma in uveitis with extremely shallow anterior chamber and cataract]. 2007

Xianchai Lin, and Minbin Yu, and Lin Lü, and Min Fang, and Jingrong Li

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.

OBJECTIVE To evaluate the efficacy of combined trabeculectomy, lensectomy and vitrectomy for the management of secondary glaucoma in uveitis with extremely shallow anterior chamber and cataract. METHODS Combined trabeculectomy, lensectomy and vitrectomy were undertaken for medically uncontrolled intraocular pressure (IOP) on 7 eyes (6 patients, aged from 4 months to 20 years) with secondary glaucoma in uveitis in a retrospective cohort study between 2001 and 2005. RESULTS The follow-up period ranged from 3 months to 4 years. Deep anterior chamber and functional bleb were observed in all the eyes postoperatively. The average IOP preoperatively, one day postoperatively, one week postoperatively, and the last time of follow-up were (5.18 +/- 0.77) kPa, (0.95 +/- 0.29) kPa, (0.93 +/- 0.12) kPa, and (1.14 +/- 0.70) kPa respectively. No severe complication was observed postoperatively except for the corneal edema and fiber exudation. CONCLUSIONS Combined trabeculectomy, lensectomy and vitrectomy serve as effective and safety treatments for secondary glaucomas uveitis accompanied by extremely shallow anterior chamber, cataract and vitreous opacity. Further intriguing study comparing this combined surgery with combined phacoemulsification and drainage implant surgery is warranted.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D008297	Male		Males
D002386	Cataract	Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed)	Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D002387	Cataract Extraction	The removal of a cataractous CRYSTALLINE LENS from the eye.	Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D005260	Female		Females
D005901	Glaucoma	An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed)	Glaucomas
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths