Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery
PURPOSE: The aim of the study was to assess the efficacy and safety of compressive sutures in patients with hypotony maculopathy after glaucoma surgery. METHODS: This retrospective case series analyzes the clinical outcomes of conjunctival compressive sutures in 17 patients with hypotony maculopathy...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/11/2223 |
| _version_ | 1797533248491880448 |
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| author | Ewa Kosior-Jarecka Dominika Wróbel-Dudzińska Anna Święch Tomasz Żarnowski |
| author_facet | Ewa Kosior-Jarecka Dominika Wróbel-Dudzińska Anna Święch Tomasz Żarnowski |
| author_sort | Ewa Kosior-Jarecka |
| collection | DOAJ |
| description | PURPOSE: The aim of the study was to assess the efficacy and safety of compressive sutures in patients with hypotony maculopathy after glaucoma surgery. METHODS: This retrospective case series analyzes the clinical outcomes of conjunctival compressive sutures in 17 patients with hypotony maculopathy developed after glaucoma surgery. Compressive Nylon 10–0 single sutures were used in all patients; in two patients, the procedure was repeated. All patients underwent ophthalmic evaluation and macular OCT scanning before the surgery, one month, six months, and one year after the procedure. RESULTS: Mean intraocular pressure (IOP) before suturing was 2.3 ± 1.57 mmHg and increased to 14.2 ± 7.03 mmHg (<i>p</i> = 0.00065) one month after the procedure. After six months, mean IOP was 10.2 ± 4.3 mmHg (<i>p</i> = 0.005), and after one year ± 4.7 mmHg (<i>p</i> = 0.0117). To obtain the target pressure, the sutures had to be removed in one patient, and medical therapy was undertaken in three patients. Mean decimal best-corrected visual acuity (BCVA) before the sutures was 0.18 ± 0.13 and increased to 0.53 ± 0.25 (<i>p</i> = 0.0004) after one month, to 0.46 ± 0.31 (<i>p</i> = 0.005) after six months, and to 0.31 ± 0.22 (<i>p</i> = 0.025) after one year. In one case, leakage from the bleb was observed after the procedure and bleb revision was required. CONCLUSIONS: transconjuctival compressive sutures seem to be an efficient and safe technique for managing hypotony maculopathy after glaucoma surgery. |
| first_indexed | 2024-03-10T11:11:51Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T11:11:51Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-00a78be6651445b1b4413730358ac5f72023-11-21T20:41:55ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-011011222310.3390/jcm10112223Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma SurgeryEwa Kosior-Jarecka0Dominika Wróbel-Dudzińska1Anna Święch2Tomasz Żarnowski3Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, 20-059 Lublin, PolandDepartment of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, 20-059 Lublin, PolandDepartment of Vitreoretinal Surgery, Medical University of Lublin, 20-059 Lublin, PolandDepartment of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, 20-059 Lublin, PolandPURPOSE: The aim of the study was to assess the efficacy and safety of compressive sutures in patients with hypotony maculopathy after glaucoma surgery. METHODS: This retrospective case series analyzes the clinical outcomes of conjunctival compressive sutures in 17 patients with hypotony maculopathy developed after glaucoma surgery. Compressive Nylon 10–0 single sutures were used in all patients; in two patients, the procedure was repeated. All patients underwent ophthalmic evaluation and macular OCT scanning before the surgery, one month, six months, and one year after the procedure. RESULTS: Mean intraocular pressure (IOP) before suturing was 2.3 ± 1.57 mmHg and increased to 14.2 ± 7.03 mmHg (<i>p</i> = 0.00065) one month after the procedure. After six months, mean IOP was 10.2 ± 4.3 mmHg (<i>p</i> = 0.005), and after one year ± 4.7 mmHg (<i>p</i> = 0.0117). To obtain the target pressure, the sutures had to be removed in one patient, and medical therapy was undertaken in three patients. Mean decimal best-corrected visual acuity (BCVA) before the sutures was 0.18 ± 0.13 and increased to 0.53 ± 0.25 (<i>p</i> = 0.0004) after one month, to 0.46 ± 0.31 (<i>p</i> = 0.005) after six months, and to 0.31 ± 0.22 (<i>p</i> = 0.025) after one year. In one case, leakage from the bleb was observed after the procedure and bleb revision was required. CONCLUSIONS: transconjuctival compressive sutures seem to be an efficient and safe technique for managing hypotony maculopathy after glaucoma surgery.https://www.mdpi.com/2077-0383/10/11/2223hypotony maculopathycomplications of antiglaucoma surgerybleb compressive sutures |
| spellingShingle | Ewa Kosior-Jarecka Dominika Wróbel-Dudzińska Anna Święch Tomasz Żarnowski Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery Journal of Clinical Medicine hypotony maculopathy complications of antiglaucoma surgery bleb compressive sutures |
| title | Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery |
| title_full | Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery |
| title_fullStr | Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery |
| title_full_unstemmed | Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery |
| title_short | Bleb Compressive Sutures in the Management of Hypotony Maculopathy after Glaucoma Surgery |
| title_sort | bleb compressive sutures in the management of hypotony maculopathy after glaucoma surgery |
| topic | hypotony maculopathy complications of antiglaucoma surgery bleb compressive sutures |
| url | https://www.mdpi.com/2077-0383/10/11/2223 |
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