Intraocular Pressure Spikes within First Postoperative Hours following Standard Trabeculectomy: Incidence and Associated Factors

Date
2018Author
Daher, Felipe [UNIFESP]
Almeida, Izabela [UNIFESP]
Ushida, Michele
Soares, Bernardo
Dorairaj, Syril
Kanadani, Fabio N.
Paranhos, Augusto, Jr. [UNIFESP]
Gracitelli, Carolina P. B. [UNIFESP]
Prata, Tiago S. [UNIFESP]
Type
ArtigoISSN
0030-3747Is part of
Ophthalmic ResearchDOI
10.1159/000480736Metadata
Show full item recordAbstract
Purpose: To evaluate the incidence of intraocular pressure (IOP) spikes within the first postoperative hours following trabeculectomy (TRAB) and to determine possible associated factors. Methods: An observational study was carried out. We enrolled consecutive patients undergoing standard TRAB with mitomycin C. They were examined twice within the first few postoperative hours (hours 1-2 and 4-6) and 3 times after TRAB (on days 1, 7, and 30). Demographic and ocular data were collected. Main outcome measurements were postoperative IOP values at each time point and the frequency of IOP spikes, defined as IOP >= 25 mm Hg. Results: A total of 40 eyes of 40 patients were included (mean age 59.62 +/- 13.37 years). Although IOP was significantly reduced to 11.14 +/- 7.99 mm Hg at hours 1-2 (p < 0.01) and to 11.52 +/- 7.30 mm Hg at hours 4-6 (p < 0.01), IOP spikes were documented in 3 patients (7.5%). In the group of patients with IOP spikes, we noted that there was a high incidence of black patients and that the surgeries had been performed by fellow surgeons. Conclusion: Although the majority of the cases (92.5% of the patients) did not present IOP spikes, 7.5% of our patients presented the event. In selected cases, such as those with advanced disease, fixation threat, and of black race, IOP should be monitored during the first few postoperative hours for the identification and adequate management of potential IOP spikes, preventing undesirable outcomes. (C) 2017 S. Karger AG, Basel
Citation
Ophthalmic Research. Basel, v. 59, n. 3, p. 142-147, 2018.Keywords
Glaucoma surgeryTrabeculectomy
Trabeculectomy adverse effects
Intraocular pressure spike
Advanced glaucoma
Collections
- EPM - Artigos [17701]
Related items
Showing items related by title, author, creator and subject.
-
Encruzilhada. Artigos dos estudantes de arte contemporânea da Unifesp (2023)
Arantes, Pedro Fiori [UNIFESP]; Pires, Catarina Silva [UNIFESP]; Souza, Larissa Silva de [UNIFESP]; Miramontes, Luana [UNIFESP]; Jean, Marci [UNIFESP]; Alcarde, Yasmin Tainá Lana de [UNIFESP]; Lima, Ingrid Dos Santos [UNIFESP]; Costa, João Henrique Lopes da [UNIFESP]; Marques, Yago Maciel [UNIFESP]; Rocha, Romario Lopes [UNIFESP]; Gomes, Gustavo Bitencourt [UNIFESP]; Dias, Camila Oliveira [UNIFESP]; Santos, Thaynná Baltazar dos[UNIFESP]; Guedes, Beatriz [UNIFESP]; Melo, Gabriella [UNIFESP]; Francesquini, Maria Sueli de Camargo [UNIFESP]; Almeida, Raphael Gomes de [UNIFESP]; Morita, Yumi [UNIFESP]; Araújo, Isadora Trindade [UNIFESP]; Santo, Micaele Silva [UNIFESP]; Rocha, Karina Braga da [UNIFESP]; Campos, Maria Eduarda [UNIFESP]; Soares, Juliane Pereira [UNIFESP]; Silva, Gabrielly A. Santiago da [UNIFESP]; Lima, Gabrielle Pereira [UNIFESP]; Marzola, Ana Paula [UNIFESP]; Mões, Gustavo [UNIFESP]; Campos, Hellen [UNIFESP]; Baba, Luccas Ryoichi Kimura [UNIFESP]; Reis, Mariana [UNIFESP]; França, Milena [UNIFESP]; Yamaguchi, Ângela Harumi [UNIFESP]; Marassi, Beatriz [UNIFESP]; Porfirio, Beatriz [UNIFESP]; Mayumi, Cristiane [UNIFESP]; Agbanusi, Gladys Uju Balbino [UNIFESP]; Calixto, Fernanda [UNIFESP]; Capelli, Thalles [UNIFESP] (Universidade Federal de São Paulo, 2023)A arte contemporânea é, acima de tudo, multidisciplinar. A experimentação e a quebra de limites são primordiais para a existência desse campo tão vibrante e diversificado que permite que os artistas se expressem de forma ...
-
I Diretriz brasileira de cardio-oncologia pediátrica da Sociedade Brasileira de Cardiologia
Seber, Adriana [UNIFESP]; Miachon, Adriana Siviero [UNIFESP]; Tanaka, Ana Cristina Sayuri; Spinola-Castro, Angela Maria [UNIFESP]; Carvalho, Antonio Carlos [UNIFESP]; Petrilli, Antonio Sergio [UNIFESP]; Macedo, Carla Renata Pacheco Donato [UNIFESP]; Nars, Clarissa Carvalho Fongaro [UNIFESP]; Terzian, Claudia Naufel [UNIFESP]; Castro Junior, Claudio Galvão de; Santos, Cleusa Cavalcanti Lapa; Guerra, Cristina Chaves dos Santos; Silva, Dafne Cardoso Bourguignon da [UNIFESP]; Bassi, Débora Ugayama; Azeka, Estela; Feitosa, Fabiana Aragão; Hamamoto, Fernando [UNIFESP]; Szarf, Gilberto [UNIFESP]; Lederman, Henrique Manoel [UNIFESP]; Rigon Junior, Humberto João; Jatene, Ieda Biscegli; Mota, Isabele Coelho Fonseca da; Perrud, Jeferson Adriano [UNIFESP]; Soares Junior, José; Gutierrez, Julián Arango; Perin, Juliana Pepe Marinho [UNIFESP]; Soares, Juliana dos Santos [UNIFESP]; Catani, Liane Hulle; Tsai, Liliana Yu [UNIFESP]; Vianna, Livia Cristina [UNIFESP]; Paiva, Marcelo Goulart; Santos, Marcelo José; Ishigai, Marcia Marcelino de Souza [UNIFESP]; Diógenes, Maria Suely Bezerra [UNIFESP]; Alves, Maria Teresa de Seixas [UNIFESP]; Piedade, Maria Tereza Castro [UNIFESP]; Parreiras, Mariana; Cypriano, Mônica [UNIFESP]; Negrini, Nilce da Silva [UNIFESP]; Campos Filho, Orlando [UNIFESP]; Figueiredo, Paula Andrade [UNIFESP]; Novaes, Paulo Eduardo [UNIFESP]; Camargo, Paulo Roberto [UNIFESP]; Maia, Priscila dos Santos [UNIFESP]; Petrilli, Renata [UNIFESP]; Arduini, Rodrigo Genaro [UNIFESP]; Gouveia, Roseane Vasconcelos [UNIFESP]; Teruya, Suzana Barbosa Miranda [UNIFESP]; Moisés, Valdir Ambrósio [UNIFESP]; Morais, Vera Lúcia Lins de (Sociedade Brasileira de Cardiologia - SBC, 2013-05-01) -
Guerras culturais em verde e amarelo
Arantes, Pedro Fiori [UNIFESP]; Okuma, André [UNIFESP]; Nascimento, Giulia dos Santos [UNIFESP]; Melo, Keyla Vasconcelos de [UNIFESP]; Lorena, Diego [UNIFESP]; Alves, Amanda [UNIFESP]; Brait, Ana Laura [UNIFESP]; Alves, Gustavo Almeida [UNIFESP]; Fernandes, Cristina Naiara [UNIFESP]; Avelino, Larissa [UNIFESP]; Paloma, Oliveira [UNIFESP]; Bertellotti, André Zaparoli [UNIFESP]; Carreño, Rebeca Nieves Inostroza [UNIFESP]; Feo, Amanda [UNIFESP]; Andrade, Bruna [UNIFESP]; Garotti, Josiane [UNIFESP]; Flauto, Larissa [UNIFESP]; Tavares, Melissa [UNIFESP]; Barbosa, Ana Beatriz Tavares [UNIFESP]; Alejarra, Melissa Maria dos Santos [UNIFESP]; Santos, Nicole Pinheiro [UNIFESP]; Dourado, Kamilla [UNIFESP]; Silva, Pamela [UNIFESP]; Goyano, Lucius [UNIFESP]; Meneses, Maria Luiza [UNIFESP]; Ferreira, Gabriela [UNIFESP]; Monteiro, Paloma [UNIFESP]; Oliveira, Marcelo Lauton de [UNIFESP]; Paula, Patrícia Pinheiro Antunes de [UNIFESP]; Santos, Isabella Mendes dos [UNIFESP]; Borges, Júlia Rodrigues [UNIFESP] (Universidade Federal de São Paulo, 2022)Queridos/as leitores/as, bem-vindos/as ao nosso campo de batalha – e de estudos. Vocês estão prestes a ler um livro perigoso. Ele fala sobre muito do que estamos vivendo no Brasil dos últimos anos, olhando esse nosso ...