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Section II · Clinical Forms

Chapter 25: Glaucomas Associated with Ocular Trauma

Shields' Textbook of Glaucoma, 6th edition

Showing 1–20 of 1,102 articles

12.
Randomized Controlled Trial

Anterior chamber flare and central macular thickness after trabeculectomy versus after phacoemulsification.

Ahmed Yasmeen, Erichsen Jesper Høiberg, Ahmadzadeh Afrouz et al.

Acta OphthalmolNov 20251 citations

This study compared inflammation and macular thickness after trabeculectomy vs. phacoemulsification. Both procedures caused similar early inflammation, but phacoemulsification led to a significantly greater and more persistent increase in macular thickness.

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Glaucoma due to 'other eye disorders', mostly following prior ocular procedures, had the highest 2-year failure rates following trabeculectomy (58.5%) and tube shunt surgery (62.2%) among 2483 eyes with secondary glaucoma aged 18 to 40 years.

PrognosisCohortRetrospective clinical cohort studyn=2483 eyes

An experimental study comparing postocclusion surge characteristics of venturi and peristaltic phacoemulsification pump types found a significant difference (P < .01) in postocclusion surge magnitude between venturi and peristaltic pumps at 41 cm and 81 cm bottle heights.

Comparative EffectivenessBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

No significant difference was observed in surge duration between venturi and peristaltic phacoemulsification pumps at either 41 cm or 81 cm bottle height.

Comparative EffectivenessBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

Data suggest that at bottle heights of 41 cm and 81 cm, with indicated settings, venturi settings on the Johnson & Johnson Veritas platform have a lower postocclusion surge magnitude compared with peristaltic settings.

Comparative EffectivenessBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

In eyes with congenital cataracts with posterior polar abnormality (PPA, n = 78), higher neurotrophin-4 (NT-4) (odds ratio [OR] = 1.16; 95% confidence interval [CI], 1.02-1.36; P = 0.028) and platelet-derived growth factor-AA (PDGF-AA) (OR = 1.06; 95% CI, 1.01-1.12; P = 0.027) were associated with postoperative visual axis opacification (VAO) in exploratory Firth logistic regression.

PrognosisCohortProspective Cohort Studyn=78 eyes with PPA

The average duration of surge for venturi phacoemulsification at 41 cm bottle height was 1.56 ± 0.75 seconds, and for peristaltic phacoemulsification at 41 cm bottle height was 2.25 ± 0.40 seconds.

MechanismBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

The average duration of surge for venturi phacoemulsification at 81 cm bottle height was 2.27 ± 1.41 seconds, and for peristaltic phacoemulsification at 81 cm bottle height was 2.90 ± 1.10 seconds.

MechanismBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

An experimental study used the Johnson & Johnson Veritas machine and Ellips FX handpiece with standard pack tips, with variable peristaltic and venturi settings, to evaluate postocclusion surge characteristics.

MethodologyBasic ScienceExperimental studyn=10 trials for each intraocular pressure and vacuum type

The presence of glaucoma significantly influenced the incidence of immunologic graft rejection following endothelial keratoplasty, with an odds ratio (OR) of 2.28 (95% CI, 1.50-3.46, P < 0.001) in a single-center retrospective case review study of 3546 eyes.

PrognosisCase seriesretrospective case reviewn=3546 eyes

Among adults, the highest incidence of endophthalmitis occurred following open globe repair (0.94%, 1 case per 106).

EpidemiologyCohortRetrospective clinical cohort studyn=17,457,881 procedures

The incidence of endophthalmitis following standalone MIGS was 0.039% (1 case per 2551) in adults, which was comparable to standard cataract surgery.

Comparative EffectivenessCohortRetrospective clinical cohort studyn=17,457,881 procedures

The risk of endophthalmitis was significantly higher for pediatric versus adult patients following cataract surgery (P = 0.014), with an incidence of 0.11% (1 case per 871) in pediatric patients and 0.038% (1 case per 2652) in adult patients.

Comparative EffectivenessCohortRetrospective clinical cohort studyn=17,457,881 procedures