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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Ophthalmol+Case+Rep
2016 ; 3
(ä): 54-60
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Morphological changes after trabeculectomy in highly myopic eyes with high
intraocular pressure by using swept-source optical coherence tomography
#MMPMID29503910
Akagi T
; Nakanishi H
; Yoshimura N
Am J Ophthalmol Case Rep
2016[Oct]; 3
(ä): 54-60
PMID29503910
show ga
PURPOSE: To investigate the effects of intraocular pressure (IOP) reduction on
the eyeball shape in highly myopic eyes with high IOP. METHODS: This study
included patients with an axial length ?26.5 mm and high IOP ?22 mmHg after
receiving maximum medication, with successful trabeculectomy by a single surgeon,
and who underwent swept-source optical coherence tomography (SS-OCT) examinations
on preoperative and postoperative ?3 months periods. Eight eyes of 7 patients
were included in the analysis. The morphological changes in the eyeball that
occurred pre- and post-operation were analyzed from the SS-OCT images. RESULTS:
In 6 out of 8 examined eyes, the following apparent morphological changes in the
posterior pole and/or peripapillary sclera were postoperatively detected on
SS-OCT images: peripapillary scleral shrinkage, decrease in the lamina cribrosa
depth, flattening of the peripapillary scleral insertion into the optic disc,
decrease in the angle of the scleral protrusion temporal to the optic disc, and
inhomogeneous change in scleral curvature of the posterior pole. CONCLUSIONS AND
IMPORTANCE: We found that the shape of some eyes with high myopia and high IOP
changed owing to the decrease in IOP. Eyeball deformities may be affected by high
IOP, and IOP reduction might reduce scleral deformation in highly myopic eyes
with high IOP.