Characteristics of Secondary Glaucoma Post Vitreoretinal Surgery At National Eye Center Cicendo Eye Hospital from January 2010 to December 2011
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Keywords
secondary glaucoma, vitreoretinal surgery
Abstract
Objective: To describe the characteristic of secondary glaucoma after vitreoretinal surgery at Cicendo Eye Hospital Bandung, Indonesia.
Method: An observational retrospective study was undertaken from medical record of the patient following vitreoretinal surgery, referred to glaucoma division at period January 2010 to December 2011 at Cicendo Eye Hospital Bandung. Patient age, gender, clinical features, Intra Ocular Pressure (IOP), type of surgery, onset of glaucoma, compliance and their treatment were documented. Total 39 patients fulfilled the inclusion criteria.
Result: There were 76 patients referred to glaucoma division who have to increase IOP following vitreoretinal surgery and 39 patients were included in this study. Thirty-five patients (89.7%) with a rhegmatogenous retinal detachment as an indication for surgery, 2 patients (5.1%) with diabetic retinopathy and 2 patients (5.1%) with Age Related Macular Degeneration (ARMD). Twenty-six patients (66.7%) in phakic status of the eye. Eighteen patients (46.2%) was treated by Pars Plana Vitrectomy (PPV) with scleral buckle procedure and silicone oil tamponade. There were 16 patients (41%) developed elevated IOP within first 3 months of surgery. Silicone oil 5000 Centistokes used in 26 patients (66.7%). Fifteen patients (38.5%) removed the silicone oil later than 3 months. There were 39 patients (100%) frequent visits during the first 3 weeks. Sixteen patients (41%) treated with three anti glaucoma drugs. Surgical management is required in 14 patiets (35.9%). An average IOP was 14±4 mmHg after surgical intervention.
Conclusion: Patients with secondary glaucoma had a condition related to rhegmatogenous retinal detachment, PPV with a scleral buckle and silicone oil tamponade, secondary angle closure without pupillary block, IOP was well controlled by three medication and surgical treatment with trabeculectomy.
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