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Ophthalmology. 2001 Oct;108(10):1789-95.

Long-term surgical outcomes of patients with glaucoma secondary to the iridocorneal endothelial syndrome.

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1
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Miami, Florida 33136, USA.

Abstract

PURPOSE:

To report the long-term outcomes of patients with iridocorneal endothelial (ICE) syndrome who required surgery for glaucoma.

DESIGN:

Retrospective, noncomparative case series.

PARTICIPANTS:

Twenty-six patients with ICE syndrome who underwent surgery for glaucoma at one institution between January 1987 and January 2000.

MAIN OUTCOME MEASURES:

Intraocular pressure (IOP), visual acuity, number of glaucoma medications, and further surgical interventions were measured.

RESULTS:

Five eyes had a trabeculectomy with an antifibrotic agent alone, seven eyes had a trabeculectomy with an antifibrotic agent and a subsequent glaucoma drainage implant (GDI), and 14 eyes had a GDI alone. In eyes that underwent a trabeculectomy with an antifibrotic agent, preoperative IOP was reduced from a mean of 38.8 +/- 10.5 mmHg on 2.3 +/- 0.8 glaucoma medications to a mean of 11.8 +/- 4.3 mmHg on 1.2 +/- 1.4 medications at last follow-up after surgery (83.8 +/- 40.3 months). In eyes that underwent GDI surgery, preoperative IOP was reduced from a mean of 35.2 +/- 13.0 mmHg on 2.0 +/- 1.3 glaucoma medications to a mean of 8.7 +/- 11.2 mmHg on 1.2 +/- 1.1 medications at last follow-up after surgery (50.5 +/- 40.7 months). Twenty-four eyes (92%) had an IOP less than 22 mmHg, and 22 eyes (85%) had visual acuity 20/400 or better at last follow-up (55.8 +/- 41.5 months). Mean number of glaucoma surgeries per patient over the follow-up period was 1.6 +/- 1.2. Trabeculectomy with antifibrotic agents had a survival of 73% at 1 year, 44% at 3 years, and 29% at 5 years. Glaucoma drainage implants had a survival of 71% at 1 year, 71% at 3 years, and 53% at 5 years.

CONCLUSIONS:

Glaucoma associated with ICE syndrome can be managed successfully surgically, although multiple procedures are often needed.

PMID:
11581050
[Indexed for MEDLINE]
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