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Ptosis after glaucoma surgery.

Abraham J Park1, Babak Eliassi-Rad2, Manishi A Desai2

  • 1Moyes Eye Center, Department of Ophthalmology.

Clinical Ophthalmology (Auckland, N.Z.)
|September 2, 2017
PubMed
Summary

Glaucoma surgery can cause ptosis, or drooping eyelids, more often in patients under 70. Shunting procedures like Ahmed and Baerveldt surgeries are linked to higher ptosis rates than filtering surgeries.

Keywords:
combined surgeryfiltering surgeryglaucomaptosisshunting surgerytrabeculectomy

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Glaucoma Management

Background:

  • Ptosis, or drooping of the upper eyelid, is a potential complication following glaucoma surgery.
  • Identifying risk factors for post-surgical ptosis is crucial for patient counseling and surgical planning.

Purpose of the Study:

  • To evaluate factors contributing to the development of ptosis after glaucoma surgery.
  • To determine the incidence of ptosis and analyze the impact of various surgical and patient-related variables.

Main Methods:

  • Retrospective chart review of 157 eyes from January 1, 2012, to January 1, 2015.
  • Analysis of variables including age, gender, surgical type, steroid duration, mitomycin C use, surgery duration, and prior surgeries.
  • Statistical analysis using chi-square or independent samples t-test to assess significance.

Main Results:

  • Age under 70, non-combined surgery, and shunting surgery (Ahmed, Baerveldt) were significantly associated with increased ptosis.
  • Gender, steroid duration, mitomycin C use, surgery duration, and prior surgeries were not statistically significant factors.
  • Ptosis incidence was higher in patients undergoing shunting procedures compared to filtering procedures (trabeculectomy, Express).

Conclusions:

  • Shunting glaucoma surgeries are associated with a higher incidence of ptosis compared to filtering surgeries.
  • Younger patients (<70 years) and those undergoing non-combined procedures may have an increased risk of post-operative ptosis.