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Characteristics of secondary glaucoma post vitreoretinal surgery at National eye center Cicendo Eye Hospital from January 2010 to December 2011

Elfa Ali Idrus , Andika Prahasta Gandasubrata, Erwin Iskandar

Elfa Ali Idrus
Department of Ophthalmology and Visual Sciences, Medical Faculty, Padjajaran University, Bandung, Indonesia. Email: elfashiao@gmail.com

Andika Prahasta Gandasubrata
Department of Ophthalmology and Visual Sciences, Medical Faculty, Padjajaran University, Bandung, Indonesia National Eye Center, Cicendo Eye Hospital, Indonesia

Erwin Iskandar
Department of Ophthalmology and Visual Sciences, Medical Faculty, Padjajaran University, Bandung, Indonesia National Eye Center Cicendo Eye Hospital, Bandung, Indonesia
Online First: October 06, 2017 | Cite this Article
Idrus, E., Gandasubrata, A., Iskandar, E. 2017. Characteristics of secondary glaucoma post vitreoretinal surgery at National eye center Cicendo Eye Hospital from January 2010 to December 2011. Bali Journal of Ophthalmology 1(1): 1-5. DOI:10.15562/bjo.v1i1.1


Objective: To describe the characteristic of secondary glaucoma  following vitreoretinal surgery at Cicendo Eye Hospital Bandung, Indonesia.

Methods : An observational retrospective study was undertaken from medical record of patient following vitreoretinal surgery, referred to glaucoma division at period January 2010 to December 2011 at Cicendo Eye Hospital Bandung. Patient age, gender, clinical features, Intra Ocular Pressure (IOP), type of surgery, onset of glaucoma, compliance and their treatment were documented. Total 39 eyes of 39 patients fulfilled the inclusion criteria.

Results : There were 76 patients referred to glaucoma division who have increasing IOP following vitreoretinal surgery and 39 patients were included in this study. Thirty five patients (89.7%) with a rhegmatogen retinal detachment as an indication for surgery, 2 patients (5.1%) with a diabetic retinopathy and 2 patients (5.1%) with Age Related Macular Degeneration (ARMD). Twenty six patients (66.7%) have phakic status of eye. Eighteen patients (46.2%) underwent Pars Plana Vitrectomy (PPV) with scleral buckle procedure and silicone oil tamponade. There were 16 patients (41%) developed elevated IOP within first 3 months of surgery.  Silicone oil 5000 Centistokes used in 26 patients (66.7%). Fifteen patients (38.5%) removed the silicone oil later than 3 months. There were 39 patients (100%) frequent visits during the first 3 weeks. Sixteen patients (41%) treated with three anti glaucoma drugs. Surgical management is required in 14 patient (35.9%). An average IOP were 14+/-4 mmHg after glaucoma procedure.

Conclusion : Patients with secondary glaucoma had a condition related to rhegmatogen retinal detachment, PPV with scleral buckle and silicone oil tamponade, secondary angle closure without pupillary block, IOP was well controlled by three medication and surgical treatment with trabeculectomy.

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