2016, Number 2
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Rev Cub Oftal 2016; 29 (2)
Open angle glaucoma after pars plana vitrectomy
Galindo RK, Rodríguez RBN, Hormigó PI, García FL, Lapido PSI
Language: Spanish
References: 22
Page: 308-315
PDF size: 71.86 Kb.
ABSTRACT
Scientific evidence related with occurrence of the open angle glaucoma after pars
plana vitrectomy surgery were reviewed. For the purpose of the documentary
research, the articles about this topic indexed in Pubmed-PubmedCentral-Scielo
databases were revised, using the subject headings "open angle glaucoma" and "pars
plana vitrectomy". The advanced search used Boolean AND and time restriction
between 2004 and 2014. Of 38 identified articles, 16 had to be discarded since they
could not be fully accessed. Data were processed through the direct contents analysis.
The pathological mechanisms that cause open angle glaucoma after pars plana
vitrectomy are numerous and complex. The hypothesis about the oxidative stress
damage in the trabecular mesh cells and its effect in the discharge of aqueous humor
has a scientific foundation in its pathogeny that makes it plausible. The treatment to
manage the ocular hypertension in these patients after vitrectomy is customized; it
may go from medical treatment to the use of simple or complex surgical techniques in
some cases. The physiopathological mechanisms of the open angle glaucoma after
pars plana vitrectomy have not been clarified yet, so new research on the topic is
needed. This paper was aimed at reviewing the scientific evidence linked to the
occurrence of open angle glaucoma after pars plana vitrectomy.
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