Department of Ophthalmology, Regional Institute of Ophthalmology, Medical College Kolkata, West Bengal, India.
Department of Ophthalmology, Rampurhat Govt Medical College, Birbhum, West Bengal, India.
Indian J Ophthalmol. 2022 Oct;70(10):3544-3549. doi: 10.4103/ijo.IJO_501_22.
To assess the incidence and cause of idiopathic, irreversible loss of vision ("wipe-out") in the early post-operative period after glaucoma-filtration surgery in advanced glaucoma.
It was a prospective, interventional cohort study. Patients with advanced glaucoma and macular split fixation underwent either only trabeculectomy (group A) or combined phaco-emulsification with trabeculectomy (group B). The incidence and cause of visual loss, changes in intra-ocular pressure, visual acuity, and visual field indices during 2 months post surgery were assessed.
Thirty patients (30 eyes) were divided in two groups. No significant difference was noted between the pre-operative and post-operative mean deviations in both groups (P = 0.41, P = 0.65). Two eyes in group A and one eye in group B had visual loss of two lines or more at the end of 2 months because of cataract and choroidal detachment. None of the eyes showed "wipe-out".
"Wipe-out" is a rare phenomenon after surgery in advanced glaucoma.
评估晚期青光眼滤过性手术后期出现的特发性、不可逆性视力丧失（“全盲”）的发生率和原因。
这是一项前瞻性、干预性队列研究。患有晚期青光眼和黄斑分裂固定的患者接受单纯小梁切除术（A 组）或超声乳化联合小梁切除术（B 组）。评估术后 2 个月内视力丧失、眼内压、视力和视野指数的发生率和原因。
30 名患者（30 只眼）分为两组。两组患者术前和术后平均偏差值无显著差异（P = 0.41，P = 0.65）。A 组有两例眼和 B 组有一例眼在术后 2 个月时因白内障和脉络膜脱离导致视力丧失两行或更多。没有一只眼出现“全盲”。
晚期青光眼手术后“全盲”是一种罕见现象。
