Ophthalmology in China ›› 2023, Vol. 32 ›› Issue (1): 21-26.doi: 10.13281/j.cnki.issn.1004-4469.2023.01.004

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Efficacy and safety of trabeculectomy combined anterior chamber proliferative membrane interception in neovascular glaucoma

Zhou Mengtian1, Zhu Shuqing1, Li Haoyu1, Chen Qi1, Xu Shuxia2,3, Xie Yanqian2,3, Le Rongrong2,3, Wang Xiaojie2,3, Zhang Shaodan2,3,4, Liang Yuanbo2,3,4   

  1. 1 Wenzhou Medical University, Wenzhou 325027, China; 2 The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou 325027, China; 3 National Clinical Research Center for Ocular Diseases, Wenzhou 325027, China; 4 Glaucoma Research Institute, Wenzhou Medical University, Wenzhou 325027, China

  • Received:2022-11-16 Online:2023-01-25 Published:2023-02-04
  • Contact: Liang Yuanbo, Email: yuanboliang@126.com 
  • Supported by:
     Key R&D Program of Zhejiang(2022C03112)

Abstract: Objective To evaluate the safety and effectiveness of trabeculectomy combined with anterior chamber proliferative membrane interception (AC-PMI) on neovascular glaucoma (NVG).  Design Retrospective case series. Participants Twenty-eight patients (31 eyes) with NVG who underwent trabeculectomy combined with AC-PMI in the Eye Hospital of Wenzhou Medical University. Methods Medical records of patients were reviewed and followed up at one day, one week, month 1, 3, 6, and 12-momth postoperatively. Repeated measured ANOVA was applied to compare pre- and postoperative intraocular pressure (IOP) and number of anti-glaucoma medication. Kaplan-Meier survival-curve analysis was used to evaluate cumulative probability of surgery success.  Main Outcome Measures IOP, number of anti-glaucoma medication, surgery-related complications and success rate of operation. Results The mean follow-up was 11.3±3.8 months. The mean IOP decreased from (51.3±8.3) mmHg on 2(2, 3) medications before surgery to (14.2±5.1) mmHg (P<0.001) on 0(0, 0) medications (P=0.002) at 12 months post-operation, respectively. The cumulative complete success rate and qualified success rate were 72.6% and 87.3% at 12 months post-operation, respectively. The incidence of hypotension, hyphema, shallow anterior chamber, choroidal detachment and descemet’s membrane fold all were 3.2% (1/31). Conclusions Trabeculectomy combined with AC-PMI can effectively reduce and stabilize IOP in NVG patients, and is an alternative combined surgical approach for NVG. (Ophthalmol CHN, 2023, 32: 21-26)