Transient Ciliochoroidal Detachment After Ab Interno Trabeculotomy for Open-Angle Glaucoma: A Prospective Anterior-Segment Optical Coherence Tomography Study

JAMA Ophthalmology
Tadamichi AkagiNagahisa Yoshimura

Abstract

Although trabeculotomy is a glaucoma surgical procedure for modest intraocular pressure (IOP) reduction, some eyes exhibit very low IOP during the early postoperative period. To our knowledge, the reason and its effect have not been investigated. To investigate ciliochoroidal detachment (CCD) immediately after ab interno trabeculotomy and evaluate its effect on IOP immediately after surgery. This prospective, observational, case series was conducted at Kyoto University Hospital, Kyoto, Japan. Patients with open-angle glaucoma who underwent ab interno trabeculotomy using a microsurgical device by a single surgeon between July 1, 2014, and May 31, 2015, were included. Thirty-seven consecutive patients were enrolled, 33 of whom were included in the analysis. The dates of the analysis were August 1 to August 15, 2015. Imaging of CCD using anterior-segment optical coherence tomography (AS-OCT). The incidence of CCD immediately after ab interno trabeculotomy and its effect on IOP in the early postoperative period. The study cohort comprised 33 patients. Their mean (SD) age was 69.4 (13.2) years, and 19 (58%) were male. At postoperative day 3, CCD was detected in 14 of 33 eyes (42%) (CCD group) using AS-OCT. The CCD group had shorter ...Continue Reading

Citations

Dec 2, 2019·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Ya LiangZhilan Yuan
Jan 7, 2018·Japanese Journal of Ophthalmology·Eri Kinoshita-NakanoTadamichi Akagi
Dec 15, 2020·Current Opinion in Ophthalmology·Kateki Vinod, Steven J Gedde
Mar 7, 2021·Journal of Clinical Medicine·Masaki TanitoYotaro Matsuoka
Aug 3, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hiroshi YokoyamaFumi Gomi

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