The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma

Moustafa S Magliyah,1 Abdulrahman H Badawi,2 Abdulaziz A Alshamrani,2 Rizwan Malik,3 Hassan Al-Dhibi2 1Ophthalmology Department, Prince Mohammed Medical City, AlJouf, Saudi Arabia; 2Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3Glaucoma Division, King Khaled Eye...

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Autores principales:	Magliyah MS, Badawi AH, Alshamrani AA, Malik R, Al-Dhibi H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	perioperative uveitis control uveitic glaucoma glaucoma surgeries immunosuppressive therapy. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b9608ad8205b49aa9f65cf2ef43886dd
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spelling	oai:doaj.org-article:b9608ad8205b49aa9f65cf2ef43886dd2021-12-02T18:15:38ZThe Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma1177-5483https://doaj.org/article/b9608ad8205b49aa9f65cf2ef43886dd2021-04-01T00:00:00Zhttps://www.dovepress.com/the-effect-of-perioperative-uveitis-control-on-the-success-of-glaucoma-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Moustafa S Magliyah,1 Abdulrahman H Badawi,2 Abdulaziz A Alshamrani,2 Rizwan Malik,3 Hassan Al-Dhibi2 1Ophthalmology Department, Prince Mohammed Medical City, AlJouf, Saudi Arabia; 2Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi ArabiaCorrespondence: Moustafa S MagliyahVitreoretinal Division, King Khaled Eye Specialist Hospital, Al- Oruba Street, PO Box 7191, Riyadh, 11462, Kingdom of Saudi ArabiaTel +966 11 482 1234 ext. 2655Fax +966 11 4821234 ext. 3773Email mussam8@yahoo.comPurpose: To study the effects of perioperative uveitis control (PUC) on postoperative intraocular pressure (IOP) and uveitis activity in uveitic glaucoma (UG) patients who required glaucoma surgeries.Patients and Methods: A retrospective chart review of 109 patients (120 eyes) which had glaucoma surgery for UG. A total of 66 eyes which had PUC were compared to 54 eyes which did not have. Measurements of IOP and uveitis activity were recorded preoperatively and over 2 years postoperatively. Average number of antiglaucoma medications and frequency of surgical failure were obtained in both groups.Results: Over 2 years postoperatively, average IOP was lower in eyes which had PUC. Significant differences in IOP were found at 3 months (P = 0.004), 6 months (P = 0.001), 1 year (P < 0.001), and 2 years (P < 0.001). Lower grades of anterior chamber (AC) inflammation were found in eyes which had PUC. Significant differences were found at 1 month (P < 0.001), 3 months (P < 0.001) and 6 months (P = 0.001). Mean number of antiglaucoma medications at last visit was 0.7 ± 1.1 for eyes which had PUC and 2.6 ± 1.5 for eyes which did not have PUC (P < 0.001). Among eyes which had PUC, only two eyes required second glaucoma surgeries, while 16 eyes with no PUC required further glaucoma surgeries after 27.7 ± 12.5 months (P < 0.001).Conclusion: Proper PUC in patients going for UG surgeries results in lower IOP levels and less AC inflammation over 2 years postoperatively. A comprehensive PUC regimen is needed for uveitic glaucoma patients going for surgeries.Keywords: perioperative uveitis control, uveitic glaucoma, glaucoma surgeries, immunosuppressive therapyMagliyah MSBadawi AHAlshamrani AAMalik RAl-Dhibi HDove Medical Pressarticleperioperative uveitis controluveitic glaucomaglaucoma surgeriesimmunosuppressive therapy.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1465-1475 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	perioperative uveitis control uveitic glaucoma glaucoma surgeries immunosuppressive therapy. Ophthalmology RE1-994
spellingShingle	perioperative uveitis control uveitic glaucoma glaucoma surgeries immunosuppressive therapy. Ophthalmology RE1-994 Magliyah MS Badawi AH Alshamrani AA Malik R Al-Dhibi H The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
description	Moustafa S Magliyah,1 Abdulrahman H Badawi,2 Abdulaziz A Alshamrani,2 Rizwan Malik,3 Hassan Al-Dhibi2 1Ophthalmology Department, Prince Mohammed Medical City, AlJouf, Saudi Arabia; 2Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi ArabiaCorrespondence: Moustafa S MagliyahVitreoretinal Division, King Khaled Eye Specialist Hospital, Al- Oruba Street, PO Box 7191, Riyadh, 11462, Kingdom of Saudi ArabiaTel +966 11 482 1234 ext. 2655Fax +966 11 4821234 ext. 3773Email mussam8@yahoo.comPurpose: To study the effects of perioperative uveitis control (PUC) on postoperative intraocular pressure (IOP) and uveitis activity in uveitic glaucoma (UG) patients who required glaucoma surgeries.Patients and Methods: A retrospective chart review of 109 patients (120 eyes) which had glaucoma surgery for UG. A total of 66 eyes which had PUC were compared to 54 eyes which did not have. Measurements of IOP and uveitis activity were recorded preoperatively and over 2 years postoperatively. Average number of antiglaucoma medications and frequency of surgical failure were obtained in both groups.Results: Over 2 years postoperatively, average IOP was lower in eyes which had PUC. Significant differences in IOP were found at 3 months (P = 0.004), 6 months (P = 0.001), 1 year (P < 0.001), and 2 years (P < 0.001). Lower grades of anterior chamber (AC) inflammation were found in eyes which had PUC. Significant differences were found at 1 month (P < 0.001), 3 months (P < 0.001) and 6 months (P = 0.001). Mean number of antiglaucoma medications at last visit was 0.7 ± 1.1 for eyes which had PUC and 2.6 ± 1.5 for eyes which did not have PUC (P < 0.001). Among eyes which had PUC, only two eyes required second glaucoma surgeries, while 16 eyes with no PUC required further glaucoma surgeries after 27.7 ± 12.5 months (P < 0.001).Conclusion: Proper PUC in patients going for UG surgeries results in lower IOP levels and less AC inflammation over 2 years postoperatively. A comprehensive PUC regimen is needed for uveitic glaucoma patients going for surgeries.Keywords: perioperative uveitis control, uveitic glaucoma, glaucoma surgeries, immunosuppressive therapy
format	article
author	Magliyah MS Badawi AH Alshamrani AA Malik R Al-Dhibi H
author_facet	Magliyah MS Badawi AH Alshamrani AA Malik R Al-Dhibi H
author_sort	Magliyah MS
title	The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
title_short	The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
title_full	The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
title_fullStr	The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
title_full_unstemmed	The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma
title_sort	effect of perioperative uveitis control on the success of glaucoma surgery in uveitic glaucoma
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/b9608ad8205b49aa9f65cf2ef43886dd
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The Effect of Perioperative Uveitis Control on the Success of Glaucoma Surgery in Uveitic Glaucoma

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