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Related Experiment Videos

[Late postcontusion secondary glaucoma]

D Chiseliţă1, P Vancea, O Filiman

  • 1Clinica Oftalmologie laşi.

Oftalmologia (Bucharest, Romania : 1990)
|July 1, 1995
PubMed
Summary

Surgical intervention for postcontusional glaucoma effectively stopped progression in 83.4% of open-angle cases. However, close-angle glaucoma saw continued progression in 23.5% of patients, with complications impacting functional outcomes.

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INFLUENCE OF GLAUCOMA ON DIABETES-INDUCED CHANGES IN THE ANTERIOR OCULAR SEGMENT.

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SHORT TERM EVALUATION OF PERIMETRIC PROGRESSION IN PATIENTS WITH OPEN ANGLE GLAUCOMA AND DIABETES.

Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi·2016

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Outcomes

Context:

  • Postcontusional glaucoma presents unique challenges, particularly in late stages.
  • Understanding the specific mechanisms driving open-angle versus close-angle forms is crucial for effective treatment.
  • Surgical timing and approach vary significantly based on glaucoma type and severity.

Purpose:

  • To analyze surgical outcomes in patients with late postcontusional glaucoma.
  • To identify the primary etiological mechanisms in open-angle and close-angle postcontusional glaucoma.
  • To evaluate the efficacy of different surgical strategies and their impact on disease progression and visual function.

Summary:

  • This study followed 33 patients with late postcontusional glaucoma for an average of 25 months post-surgery.
  • Key findings indicate shorter accident-to-surgery intervals in combined close-angle forms.
  • Trabecular meshwork alteration and pupillary block were identified as primary mechanisms for open-angle and close-angle glaucoma, respectively.
  • Antiglaucoma surgery (trabeculectomy, peripheral iridectomy) was used for simple cases, while combined or sequential surgeries were employed for mixed forms.
  • Disease progression was halted in 83.4% of open-angle glaucoma cases but continued in 23.5% of close-angle cases.
  • Functional improvements were diminished by severe peri- and post-operative complications, particularly when combined with cataract surgery.

Impact:

  • The study highlights the differential response to surgical management between open-angle and close-angle postcontusional glaucoma.
  • Findings underscore the importance of addressing specific etiological mechanisms for optimizing surgical success.
  • The increased complication rate associated with combined procedures necessitates careful patient selection and surgical planning to mitigate negative functional impacts.

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