{"id":320,"date":"2015-01-23T12:45:38","date_gmt":"2015-01-23T14:45:38","guid":{"rendered":"http:\/\/www.planetaw.com.br\/temp\/sbg\/?p=320"},"modified":"2019-06-24T16:03:17","modified_gmt":"2019-06-24T19:03:17","slug":"fatores-de-risco-para-descolamento-de-coroide-apos-trabeculectomia-com-mmc","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/fatores-de-risco-para-descolamento-de-coroide-apos-trabeculectomia-com-mmc\/","title":{"rendered":"FATORES DE RISCO PARA DESCOLAMENTO DE COR\u00d3IDE AP\u00d3S TRABECULECTOMIA COM MMC"},"content":{"rendered":"<div class=\"row-fluid\">\n<div class=\"span6\"><span class=\"tituloDoutorEsq\"><span class=\"tituloDoutorEsq\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-680 size-full\" src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/Tiago-Prata.jpg\" alt=\"\" width=\"100\" height=\"120\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-681 size-full\" src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/Daniela-L-M-Junqueira.jpg\" alt=\"Daniela-L-M-Junqueira\" width=\"100\" height=\"120\" \/><strong>Comentarios de Tiago Prata e Dra Daniela L M Junqueira sobre<\/strong>:<br \/>\nRef:<strong> Risk factors for choroidal detachmet after trabeculectomy with Mytomycin C<\/strong>.<br \/>\nHaga A, Inatani M, Shobayashi K, Kojima S, Inoue T, Tanihara H.<br \/>\n<strong>Clin Ophthalmol. 2013<\/strong><br \/>\n<\/span><\/span><\/div>\n<div class=\"span6\"><span class=\"tituloDoutorEsq\"><span class=\"tituloDoutorEsq\"><strong>E<img loading=\"lazy\" decoding=\"async\" class=\"borderLeft alignleft wp-image-680 size-full\" src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/Tiago-Prata.jpg\" alt=\"\" width=\"100\" height=\"120\" \/>ditor Associado<\/strong><br \/>\n<strong>Tiago Prata<\/strong><br \/>\n<\/span><\/span><\/div>\n<\/div>\n<p>Este estudo retrospectivo teve como principal objetivo avaliar fatores possivelmente associados ao descolamento de cor\u00f3ide ap\u00f3s trabeculectomia com mitomicina C.<\/p>\n<p>Para isso, foram analisados 420 pacientes com glaucoma submetidos \u00e0 trabeculectomia no hospital universit\u00e1rio de Kumamoto, no Jap\u00e3o. Atrav\u00e9s da an\u00e1lise de regress\u00e3o log\u00edstica, foram investigados diversos fatores, como idade, sexo, subtipo de glaucoma, cirurgia pr\u00e9via de catarata, press\u00e3o intraocular pr\u00e9 e p\u00f3s-operat\u00f3ria e necessidade de lise de sutura.<\/p>\n<p>Descolamento de cor\u00f3ide foi definido como uma eleva\u00e7\u00e3o da cor\u00f3ide de apar\u00eancia s\u00f3lida observada atrav\u00e9s do exame fundosc\u00f3pico. <span class=\"destaqueBgAzul\">De maneira surpreendente, aproximadamente 19% dos pacientes apresentaram descolamento de cor\u00f3ide ap\u00f3s a trabeculectomia (em m\u00e9dia, aproximadamente 6 dias ap\u00f3s a cirurgia).<\/span> A press\u00e3o intraocular m\u00e9dia desses olhos com descolamento foi de 5,5 mmHg. Os dois fatores significativamente associados com a ocorr\u00eancia de descolamento de cor\u00f3ide foram idade e press\u00e3o intraocular p\u00f3s-operat\u00f3ria. <span class=\"destaqueBgAzul\">Pacientes mais velhos e com press\u00e3o intraocular mais baixa foram os com maior risco.<\/span> Sabemos que a ocorr\u00eancia de descolamento de cor\u00f3ide pode comprometer o resultado cir\u00fargico de uma trabeculectomia. Acreditamos que medidas intra e p\u00f3s-operat\u00f3rias visando minimizar a hipotonia ocular em pacientes mais idosos devam ser ent\u00e3o consideradas.<\/p>\n<div class=\"envolveConteudo\">\n<div class=\"accordion-noticias\">\n<h3 style=\"background-color: #dadada;\"><img decoding=\"async\" src=\"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/03\/seg.png\" \/>Resumo deste artigo<\/h3>\n<div>\n<div class=\"accordion-resumo\">\n<div class=\"box-isolado\">\n<p><em>Clin Ophthalmol<\/em>. 2013;7:1417-21. doi: 10.2147\/OPTH.S46375. Epub 2013 Jul 11.<br \/>\n<strong>Risk factors for choroidal detachment after trabeculectomy with mitomycin C<\/strong>.<br \/>\nHaga A, Inatani M, Shobayashi K, Kojima S, Inoue T, Tanihara H.<br \/>\n<strong>Author information<\/strong><\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p><strong>PURPOSE<\/strong>:<br \/>\nTo evaluate the risk factors for choroidal detachment after trabeculectomy with mitomycin C (MMC).<\/p>\n<p><strong>MATERIALS AND METHODS<\/strong>:<\/p>\n<p>We retrospectively evaluated 420 patients (420 eyes) with glaucoma who underwent trabeculectomy with MMC between June 1, 2005 and December 31, 2010 at Kumamoto University Hospital, Japan. Choroidal detachment after trabeculectomy was defined as a solid-appearing elevation of the retina and choroid. Logistic multivariable analysis was applied to determine the risk factors for choroidal detachment. The following factors were assessed: gender, age, subtypes of glaucoma, eye laterality, history of previous cataract surgery, preoperative intraocular pressure (IOP; mean of three Goldmann applanation readings recorded on different days), postoperative IOP (mean of seven Goldmann applanation readings recorded on 7 consecutive days after trabeculectomy), and postoperative laser suture lysis.<\/p>\n<p><strong>RESULTS<\/strong>:<br \/>\nOf the 420 patients, 79 (18.8%) revealed choroidal detachments. The mean period between trabeculectomy and choroidal detachment was 6.1 \u00b1 3.6 days. The mean IOP at the time of the choroidal detachment was 5.5 \u00b1 3.6 mmHg. Age (odds ratio [OR] = 1.028\/year, P = 0.0068) and postoperative IOP (OR = 0.887\/mmHg, P &lt; 0.0001) were risk factors for choroidal detachment after trabeculectomy. The subgroup analysis for eyes with open angle glaucoma (201 patients) revealed that age (OR = 1.060\/year, P = 0.0040) and postoperative IOP (OR = 0.898\/mmHg, P = 0.0110) were significant risk factors for choroidal detachment after trabeculectomy with MMC.<\/p>\n<p><strong>CONCLUSION<\/strong>:<br \/>\nAmong glaucoma patients, older age and lower postoperative IOP are risk factors for choroidal detachment after trabeculectomy with MMC. In eyes with open angle glaucoma, older age and lower postoperative IOP are risk factors for choroidal detachment after trabeculectomy with MMC.<\/p>\n<p><strong>KEYWORDS<\/strong>:<br \/>\nchoroidal detachment, intraocular pressure, mitomycin C, trabeculectomy<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Comentarios de Tiago Prata e Dra Daniela L M Junqueira sobre: Ref: Risk factors for choroidal detachmet after trabeculectomy with Mytomycin C. Haga A, Inatani M, Shobayashi K, Kojima S, Inoue T, Tanihara H. Clin Ophthalmol. 2013 Editor Associado Tiago Prata Este estudo retrospectivo teve como principal objetivo avaliar fatores possivelmente associados ao descolamento de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-320","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>FATORES DE RISCO PARA DESCOLAMENTO DE COR\u00d3IDE AP\u00d3S TRABECULECTOMIA COM MMC - SBG - Sociedade Brasileira de Glaucoma<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sbglaucoma.org.br\/medico\/fatores-de-risco-para-descolamento-de-coroide-apos-trabeculectomia-com-mmc\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FATORES DE RISCO PARA DESCOLAMENTO DE COR\u00d3IDE AP\u00d3S TRABECULECTOMIA COM MMC - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Comentarios de Tiago Prata e Dra Daniela L M Junqueira sobre: Ref: Risk factors for choroidal detachmet after trabeculectomy with Mytomycin C. Haga A, Inatani M, Shobayashi K, Kojima S, Inoue T, Tanihara H. 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