Glaucoma Surgical Outcomes in Patients with a History of Scleritis

To assess the outcomes of glaucoma surgery in patients with a history of scleritis at a tertiary medical center. The retrospective case series included patients with a history of scleritis who required glaucoma surgery between 4/2006 and 8/2021. Two hundred and eighty-one eyes of 259 patients had gl...

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Published in:Ocular immunology and inflammation 2024-07, Vol.ahead-of-print (ahead-of-print), p.1-7
Main Authors: Wong, Jae-Chiang, Savsani, Esika, Mahmoudzadeh, Raziyeh, Salabati, Mirataollah, Razeghinejad, Reza, Lee, Daniel, Shukla, Aakriti G., Myers, Jonathan S., Pro, Michael J., Moster, Marlene R., Dunn, James P., Kolomeyer, Natasha Nayak
Format: Article
Language:English
Subjects:
Glaucoma
glaucoma surgery
scleritis
uveitis
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Summary:To assess the outcomes of glaucoma surgery in patients with a history of scleritis at a tertiary medical center. The retrospective case series included patients with a history of scleritis who required glaucoma surgery between 4/2006 and 8/2021. Two hundred and eighty-one eyes of 259 patients had glaucoma and scleritis with 28 eyes (10%) of 25 patients requiring glaucoma surgery. Post-operatively, one eye (4%) had infectious scleritis. Eleven (39%) surgeries failed: 5 tube shunts, 5 cyclophotocoagulation, and 1 gonioscopy-assisted transluminal trabeculotomy. Five (18%) eyes required tube revisions due to tube exposures without infection (3), iris blocking the tube (1), or to shorten tube length (1). Patients with a history of scleritis have a low risk of scleritis recurrence or scleral perforation after glaucoma surgery but should be counseled appropriately on the higher risk of reoperation.
ISSN:0927-3948
1744-5078
1744-5078
DOI:10.1080/09273948.2023.2177678