Glaucoma drainage device surgery after vitreoretinal surgery: incidence and risk factors

Purpose The initial success of vitreoretinal surgery can be annihilated by an acceleration of preexisting glaucoma or the development of secondary glaucoma. Aim of this study was to determine the incidence of and risk factors for medically uncontrollable glaucoma after vitreoretinal surgery. Methods...

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Bibliographic Details
Published in:Acta ophthalmologica (Oxford, England) England), 2016-03, Vol.94 (2), p.135-139
Main Authors: Vries, Margriet M., Müskens, Rogier P. H. M., Renardel de Lavalette, Victor W., Hooymans, Johanna M. M., Jansonius, Nomdo M.
Format: Article
Language:English
Subjects:
Adult
Aged
Baerveldt
Case-Control Studies
Female
Follow-Up Studies
glaucoma
Glaucoma - epidemiology
Glaucoma - surgery
Glaucoma Drainage Implants - statistics & numerical data
Humans
Incidence
Intraocular Pressure
Male
Middle Aged
Prosthesis Implantation - statistics & numerical data
retinal detachment
Risk Factors
scleral buckling
secondary glaucoma
vitrectomy
Vitreoretinal Surgery - adverse effects
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Summary:Purpose The initial success of vitreoretinal surgery can be annihilated by an acceleration of preexisting glaucoma or the development of secondary glaucoma. Aim of this study was to determine the incidence of and risk factors for medically uncontrollable glaucoma after vitreoretinal surgery. Methods Case–control study amongst patients who underwent vitreoretinal surgery at the University Medical Center Groningen between 1991 and 2011 (in total 14 942 interventions). Cases were all patients who received a glaucoma drainage device after vitreoretinal surgery. Controls were a subset of the patients who underwent vitreoretinal surgery without a subsequent drainage device. Cases and controls were matched (three controls per case) with regard to the year of the (first) vitreoretinal intervention. The incidence rate was calculated from the number of cases and the number of person‐years corresponding to all vitreoretinal interventions performed in the study period. Risk factors were analysed with logistic regression. Results Ninety‐five cases were identified after a follow‐up of 101 961 person‐years (one per 1000 person‐years). Cases were younger (p = 0.017), were more often men (p = 0.035), underwent more interventions (p 
ISSN:1755-375X
1755-3768
DOI:10.1111/aos.12910