Sahoo Niroj Kumar, Balijepalli Pasyanthi, Singh Sumit Randhir, Jhingan Mahima, Senthil Sirisha, Chhablani Jay
1Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, 500034 India.
2VST Center for Glaucoma Services, L V Prasad Eye Institute, Hyderabad, 500034 India.
Int J Retina Vitreous. 2018 Sep 5;4:29. doi: 10.1186/s40942-018-0135-x. eCollection 2018.
The close structural and microcirculatory co-relation between anterior and posterior segments of eye make them very vulnerable to complications when one of them is affected surgically. With the advent of anti-fibrotic agents in the management of glaucoma, the rates of vitreoretinal complications have become more frequent.
Common retinal complications after glaucoma surgeries include choroidal detachment; ocular decompression retinopathy; haemorrhagic choroidal detachment; hypotony maculopathy; malignant glaucoma; vitreous haemorrhage; bleb endophthalmitis; retinal detachment. Similarly, intraocular pressure rise is often noted after scleral buckle; pars plana vitrectomy; intravitreal gas injection; silicone oil injection; intravitreal steroid injection.
The article provides some insight into some of the complications after glaucoma and retina surgeries, including the pathogenetic mechanisms behind each complication and available management options.
眼睛前段和后段在结构及微循环上紧密相关，这使得当其中一段接受手术时，它们极易出现并发症。随着抗纤维化药物在青光眼治疗中的应用，玻璃体视网膜并发症的发生率变得更高。
青光眼手术后常见的视网膜并发症包括脉络膜脱离；眼减压性视网膜病变；出血性脉络膜脱离；低眼压性黄斑病变；恶性青光眼；玻璃体积血；滤过泡性眼内炎；视网膜脱离。同样，在巩膜扣带术、玻璃体切割术、玻璃体内气体注射、硅油注射、玻璃体内类固醇注射后，眼压升高也较为常见。
本文对青光眼和视网膜手术后的一些并发症进行了探讨，包括每种并发症背后的发病机制以及可用的治疗方法。
