The surgical management of XXXX .

@entity1 @entity1715 @entity231 @entity1713 @entity1596 @entity8814 @entity735 @entity397 @entity21506 @entity158 @entity370 @entity309 @entity1907
OBJECTIVE: To study the effect of dissecting epiciliary proliferative tissue in eyes that are hypotonous. DESIGN: Retrospective noncomparative case series. @entity1 : Eight @entity1 (nine eyes). MAIN OUTCOME MEASURES: Normalization of intraocular pressure and preservation of vision. METHODS: A chart review was conducted to locate all surgical procedures performed primarily for @entity8814 . Nine procedures on eight eyes of eight @entity1 seen in the vitreoretinal service of the Wilmer Ophthalmological Institute were identified and included in this study. Six of these eyes had undergone prior surgery for @entity1713 in association with proliferative @entity1715 , one had undergone surgery for @entity1713 in the setting of a @entity397 , and two had undergone @entity231 surgery and coined the diagnoses of @entity1596 ( @entity309 and @entity370 ). Dissection and removal of the epiciliary proliferative tissue and lens capsule was undertaken by two surgeons (EdJ and @entity21506 ) using either a pars plana or limbal approach. The main outcome measures were intraocular pressure (IOP) and visual acuity after an average follow-up of 26 months (range, 9-48 months). RESULTS: In the immediate postoperative period, all @entity1 showed an increase in IOP (average increase of 6.3 mm Hg; range, 3-14 mmHg). This average increase in IOP decreased to 5.2 mmHg at 6 months and 4.2 mm Hg at 12 or more months of follow-up. The rate of the IOP decrease appeared to lessen with time, suggesting long-term stabilization. Visual acuity remained stable in all @entity1 , although the final level of vision was low. CONCLUSIONS: Surgical intervention for @entity8814 with greater than 1 year follow-up continues to show elevated IOP in some @entity1 , despite the fact that the large initial increase in IOP is not sustained. No eye had @entity1907 develop or became @entity158 . However, no eye had marked improvement in vision. Further study is needed to uncover the main contributing factors that result in @entity8814 before IOP can be maintained for prolonged periods in more @entity735 and before these eyes can regain more vision.
