Surgical management of secondary glaucoma in Fuchs' heterochromic iridocyclitis

doi:10.1007/s00417-013-2312-9

科研成果详情

题名	Surgical management of secondary glaucoma in Fuchs' heterochromic iridocyclitis
作者	You, Yi-an; Wu, Yaming; Hu, Saijing
发表日期	2013-07
发表期刊	GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Glaucoma Iridocyclitis Surgery
其他关键词	ANTERIOR UVEITIS ; SURGERY ; PHACOEMULSIFICATION ; SUBCONJUNCTIVAL ; 5-FLUOROURACIL ; TRABECULECTOMY ; CYCLITIS
摘要	To access surgical effects in patients with secondary glaucoma in Fuchs' heterochromic iridocyclitis. We had employed medical or surgical treatment for 22 patients who had been diagnosed as secondary glaucoma and Fuchs' heterochromic iridocyclitis. Thirteen patients had undergone trabeculectomy with intraoperative applications of mitomycin C (MMC), of whom 11 patients had been followed up postoperatively for 25.09 +/- 14.4 months (range 6-48 months). Intraocular pressure (IOP) were controlled medically in 17 of 22 (77.3 %) patients. In 11 patients who had surgical therapy, mean IOP fell from a preoperative initial value of 38.05 +/- 7.26 mmHg to 20.63 +/- 6.15 mmHg (P = 0.000), and mean number of lowering IOP medications fell from preoperative value of 2.27 +/- 0.78 to 1.09 +/- 1.22 at postoperative final follow-up time (P = 0.014). The result of Kaplan-Meier analysis showed a total success of 90.9 % was achieved at 1 year, 62.3 % success at 4 years and 63.6 % complete success was achieved at 1 year and 31.8 % at 4 years. Exacerbations of intraocular inflammation with transient IOP rise at the early postoperative period occurred in six patients (23 %), and were controlled with topical corticosteroid. No frequent postoperative uveitic relapses were observed. Fuchs' heterochromic iridocyclitis has high morbidity of secondary glaucoma. Regular follow-up and close observation should be carried out. Trabeculectomy with MMC is a moderately effective procedure for patients with secondary glaucoma.
出版者	SPRINGER
出版地	NEW YORK
ISSN	0721-832X
EISSN	1435-702X
卷号	251 期号:7 页码:1785-1790
DOI	10.1007/s00417-013-2312-9
页数	6
WOS类目	Ophthalmology
WOS研究方向	Ophthalmology
WOS记录号	WOS:000320386700018
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	23519886
SCOPUSEID	2-s2.0-84879205841
通讯作者地址	[You, Yi-an]Wenzhou Med Coll, Dept Ophthalmol, Affiliated Hosp 1, Wenzhou 325000, Zhejiang, Peoples R China.
引用统计	被引频次：8[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/14064
专题	附属第一医院_眼科
通讯作者	You, Yi-an
作者单位	Wenzhou Med Coll, Dept Ophthalmol, Affiliated Hosp 1, Wenzhou 325000, Zhejiang, Peoples R China
第一作者单位	附属第一医院_眼科
通讯作者单位	附属第一医院_眼科
第一作者的第一单位	附属第一医院_眼科
推荐引用方式 GB/T 7714	You, Yi-an,Wu, Yaming,Hu, Saijing. Surgical management of secondary glaucoma in Fuchs' heterochromic iridocyclitis[J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY,2013,251(7):1785-1790.
APA	You, Yi-an, Wu, Yaming, & Hu, Saijing. (2013). Surgical management of secondary glaucoma in Fuchs' heterochromic iridocyclitis. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 251(7), 1785-1790.
MLA	You, Yi-an,et al."Surgical management of secondary glaucoma in Fuchs' heterochromic iridocyclitis".GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY 251.7(2013):1785-1790.