A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series
AIM: To report the outcomes of penetrating canaloplasty for corticosteroid-induced glaucoma in a case series. METHODS: Penetrating canaloplasty is a bleb-independent filtering surgery unifying canaloplasty and trabeculectomy. In this study, the surgery was performed to restore the natural outflow th...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2022-07-01
|
| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/en_publish/2022/7/20220706.pdf |
| _version_ | 1811318742940909568 |
|---|---|
| author | Jing-Jing Hu Hai-Shuang Lin Shao-Dan Zhang Wen-Qing Ye Juan Gu Yan-Qian Xie Yi-Hua Tang Yuan-Bo Liang |
| author_facet | Jing-Jing Hu Hai-Shuang Lin Shao-Dan Zhang Wen-Qing Ye Juan Gu Yan-Qian Xie Yi-Hua Tang Yuan-Bo Liang |
| author_sort | Jing-Jing Hu |
| collection | DOAJ |
| description | AIM: To report the outcomes of penetrating canaloplasty for corticosteroid-induced glaucoma in a case series. METHODS: Penetrating canaloplasty is a bleb-independent filtering surgery unifying canaloplasty and trabeculectomy. In this study, the surgery was performed to restore the natural outflow through surgically expanded Schlemm's canal and generated trabeculum ostium. A total of 10 eyes of 8 patients were treated with penetrating canaloplasty for corticosteroid-induced glaucoma. Intraocular pressure (IOP) and the number of glaucoma medications at postoperative 3, 6, 12, 18, 24, 36, and 48mo were documented as primary endpoint. Complications after the surgery were recorded as secondary endpoint. RESULTS: Penetrating canaloplasty was accomplished successfully for all 10 eyes, with a mean follow-up of 20.4±13.0mo (range 6-48mo). The mean preoperative IOP and number of anti-glaucoma medications were 45.1±6.5 mm Hg and 3.3±0.5 respectively. The mean post-operative IOP at 3, 6, 12, 18, 24, 36, and 48mo were 15.8±6.0, 14.7±3.3, 15.3±2.0, 15.6±2.6, 17.5±1.8, 16.5±4.9, and 14.0 mm Hg. The number of anti-glaucoma medications at these time points were all 0. This surgery failed to control the IOP in 1 eye at 1mo after surgery. Hyphaema occurred in 3 eyes on the first day after surgery. Postoperative transient IOP increasing was encountered with in two eyes from 1wk to 1mo after surgery. Choroidal detachment developed in one eye but responded well to conservative treatment. CONCLUSION: Penetrating canaloplasty is effective for corticosteroid-induced glaucoma without serious complications, making it a viable or preferred alternative option. |
| first_indexed | 2024-04-13T12:30:52Z |
| format | Article |
| id | doaj.art-b0051fa6585b4c8f833ad15472790299 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-13T12:30:52Z |
| publishDate | 2022-07-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-b0051fa6585b4c8f833ad154727902992022-12-22T02:46:51ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-07-011571077108110.18240/ijo.2022.07.0620220706A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case seriesJing-Jing Hu0Hai-Shuang Lin1Shao-Dan Zhang2Wen-Qing Ye3Juan Gu4Yan-Qian Xie5Yi-Hua Tang6Yuan-Bo Liang7Yuan-Bo Liang. The Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, No.270, Xue Yuan Xi Road, Wenzhou 325027, Zhejiang Province, China. yuanboliang@126.comThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China; Glaucoma Institute, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China; Glaucoma Institute, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaAIM: To report the outcomes of penetrating canaloplasty for corticosteroid-induced glaucoma in a case series. METHODS: Penetrating canaloplasty is a bleb-independent filtering surgery unifying canaloplasty and trabeculectomy. In this study, the surgery was performed to restore the natural outflow through surgically expanded Schlemm's canal and generated trabeculum ostium. A total of 10 eyes of 8 patients were treated with penetrating canaloplasty for corticosteroid-induced glaucoma. Intraocular pressure (IOP) and the number of glaucoma medications at postoperative 3, 6, 12, 18, 24, 36, and 48mo were documented as primary endpoint. Complications after the surgery were recorded as secondary endpoint. RESULTS: Penetrating canaloplasty was accomplished successfully for all 10 eyes, with a mean follow-up of 20.4±13.0mo (range 6-48mo). The mean preoperative IOP and number of anti-glaucoma medications were 45.1±6.5 mm Hg and 3.3±0.5 respectively. The mean post-operative IOP at 3, 6, 12, 18, 24, 36, and 48mo were 15.8±6.0, 14.7±3.3, 15.3±2.0, 15.6±2.6, 17.5±1.8, 16.5±4.9, and 14.0 mm Hg. The number of anti-glaucoma medications at these time points were all 0. This surgery failed to control the IOP in 1 eye at 1mo after surgery. Hyphaema occurred in 3 eyes on the first day after surgery. Postoperative transient IOP increasing was encountered with in two eyes from 1wk to 1mo after surgery. Choroidal detachment developed in one eye but responded well to conservative treatment. CONCLUSION: Penetrating canaloplasty is effective for corticosteroid-induced glaucoma without serious complications, making it a viable or preferred alternative option.http://ies.ijo.cn/en_publish/2022/7/20220706.pdfpenetrating canaloplastycorticosteroid-induced glaucomaintraocular pressurebleb-independent filtering surgery |
| spellingShingle | Jing-Jing Hu Hai-Shuang Lin Shao-Dan Zhang Wen-Qing Ye Juan Gu Yan-Qian Xie Yi-Hua Tang Yuan-Bo Liang A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series International Journal of Ophthalmology penetrating canaloplasty corticosteroid-induced glaucoma intraocular pressure bleb-independent filtering surgery |
| title | A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series |
| title_full | A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series |
| title_fullStr | A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series |
| title_full_unstemmed | A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series |
| title_short | A new bleb-independent surgery namely penetrating canaloplasty for corticosteroid-induced glaucoma: a prospective case series |
| title_sort | new bleb independent surgery namely penetrating canaloplasty for corticosteroid induced glaucoma a prospective case series |
| topic | penetrating canaloplasty corticosteroid-induced glaucoma intraocular pressure bleb-independent filtering surgery |
| url | http://ies.ijo.cn/en_publish/2022/7/20220706.pdf |
| work_keys_str_mv | AT jingjinghu anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT haishuanglin anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT shaodanzhang anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT wenqingye anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT juangu anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yanqianxie anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yihuatang anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yuanboliang anewblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT jingjinghu newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT haishuanglin newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT shaodanzhang newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT wenqingye newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT juangu newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yanqianxie newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yihuatang newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries AT yuanboliang newblebindependentsurgerynamelypenetratingcanaloplastyforcorticosteroidinducedglaucomaaprospectivecaseseries |