ESCRS - P271 - IS POST-TRABECULECTOMY SEROUS CHOROIDAL DETACHMENT A RISK FACTOR FOR FAILURE IN THE LONG TERM

IS POST-TRABECULECTOMY SEROUS CHOROIDAL DETACHMENT A RISK FACTOR FOR FAILURE IN THE LONG TERM

Published 2022 - 26th ESCRS Winter Meeting

Reference: P271 | Type: Abstracts | DOI: 10.82333/p238-aj83

Authors: Nader Nassiri* 1 , Maryam Yadgari 2 , Kiana Hassanpour 1 , Kourosh Sheibani 2 , Sara Kavousnezhad 3

1Ophthalmology,Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences,Tehran,Iran, Islamic Republic Of, 2Ophthalmology,Basir Eye Health Research Center,Tehran,Iran, Islamic Republic Of, 3Ophthalmology,Vanak Eye Surgery Center,Tehran,Iran, Islamic Republic Of

Purpose

 
To investigate the long-term effect of serous choroidal detachment on the success of trabeculectomy in
glaucoma patients.

 

Setting

 
An academic tertiary ophthalmology center, Tehran, Iran. 

 

 

Methods

 
In this case-control study, 17 patients who underwent trabeculectomy and developed choroidal detachment, and completed at least 3 years of follow-up were included. The controls were matched based on age, sex, preoperative intraocular pressure, glaucoma type, and lack of choroidal detachment. Surgical success was defined based on two definitions of 5 < IOP < 16 and 20% reduction from the baseline and no need for further glaucoma surgery and all the same but 5 < IOP < 22.

 

Results

 
The mean estimated duration of survival ±SD was 2.73 ± 0.35 years (CI 95% 2.1, 3.4), which was significantly shorter than 3.98 ± 0.38 years (CI 95% 3.3, 4.7) in the control group. (LogRank = 5.03 p = 0.02). Cumulative probability of success was 76.5%, 52.9%, 29.4%, 17.6%, and 11.8% in year 1, 2, 3, 4, and 5 in the case group, respectively. Corresponding values were 88.2%, 82.4%, 68.6%, 58.8%, and 47.1%. In the control group, respectively. At baseline, average IOP was 22.3 ± 2.7 and 23.8 ± 8.3 mmHg in the case and control groups, respectively (p = 0.17). Mean IOP was significantly higher in the case group than in the control group in years 2, 3, 4, and 5.

 

Conclusion

 
Serous choroidal detachment affects the long-term surgical success of trabeculectomy, especially in
patients with advanced glaucoma when lower target pressure is required.