Abstract
Purpose: To determine the outcome of secondary glaucoma after pars plana vitrectomy (PPV) and silicone oil injection in rhegmatogenous retinal detachment
Materials and Methods: This Interventional quasi experimental study was conducted at Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Malir, Karachi; from January 2006 to December 2007.Study included total 50 eyes of 50 patients fulfilling the inclusion criteria. After examination, patients were divided into three groups. Group -1 if IOP (intraocular pressure) from 22 mmHg up to 28 mmHg managed medically by anti-glaucoma drug like timolol 0.5% alone, group - II if IOP was raised over 28 mmHg than timolol 0.5% with dorzolamide 2% were prescribed and group – III if the patient’s IOP was not controlled medically, additional surgical intervention like silicone oil removal, diode cycloablation, cyclocryopexy and glaucoma valve surgery was performed. Success was defined as IOP ≤ 21 mmHg and ≥ 05 mmHg with or without medication. Patients were followed for 6 months.
Results: Over follow up period of 6 months, successful IOP control was achieved in all 50 (100%) eyes.
Conclusions: Glaucoma after PPV with silicone oil injection in rhegmatogenous retinal detachment can be effectively managed by anti-glaucoma medicines or with additional surgical measures.
Azizur Rahman, Asfandyar Asghar, Muhammad Nasir Bhatti, Tayab Shahzad, Muhammad Saleh Memon. (2010) Management of Secondary Glaucoma after Pars Plana Vitrectomy (PPV) and Silicone Oil Injection in Rhegmatogenous Retinal Detachment, Pakistan Journal of Ophthalmology, Volume 26, Issue 1.
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