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Surgical outcomes of patients with iridocorneal endothelial syndrome: a case series

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Abstract

The purpose of this study is to report the intermediate-term surgical outcomes of patients with iridocorneal endothelial syndrome-related glaucoma. The medical records of four patients (five eyes) surgery (Ahmed glaucoma valve implantation surgery and EX-PRESS mini shunt) were retrospectively reviewed. Median follow-up after glaucoma surgery was 24 (15–36) months. The preoperative intraocular pressure was significantly reduced from a median of 33 (22.5–36) mmHg on a median of 4 (4–5) glaucoma medications to a median of 12 (10.5–14.5) mmHg on a median of 2 (0–2) medications at last follow-up after surgery (p = 0.043 for IOP and p = 0.042 for glaucoma medications). Median preoperative visual acuity [0.016 (0.008–0.1)] did not change significantly when compared to median visual acuity at last follow-up [0.016 (0.004–0.5)] (p = 0.59). Intraocular pressure control in patients with iridocorneal endothelial syndrome is challenging and may require multiple operations and revisions. Some modifications during glaucoma drainage implant surgery and use of EX-PRESS mini shunt in certain cases could offer an advantage in these patients.

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Authors and Affiliations

  1. Haydarpasa Numune Training and Research Hospital, Tıbbiye Cad. No: 40, 34668, Üsküdar/Istanbul, Turkey

    Serhat Imamoglu, Mehmet S. Sevim, Hatice Elvin Yıldız, Ece Turan Vural, Handan Bardak & Yavuz Bardak

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  1. Serhat Imamoglu
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  2. Mehmet S. Sevim
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  3. Hatice Elvin Yıldız
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  4. Ece Turan Vural
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  6. Yavuz Bardak
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Correspondence to Serhat Imamoglu.

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Imamoglu, S., Sevim, M.S., Yıldız, H.E. et al. Surgical outcomes of patients with iridocorneal endothelial syndrome: a case series. Int Ophthalmol 37, 607–613 (2017). https://doi.org/10.1007/s10792-016-0317-1

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  • DOI: https://doi.org/10.1007/s10792-016-0317-1

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