Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome
Reham Dakam AlQahtani,1 Adi Mohammed Al Owaifeer,1,2 Sami AlShahwan,1 Khawlah AlZaben,1 Raghad AlMansour3 1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Ophthalmology Unit, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia; 3College of Medicine,...
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ftdovepress:oai:dovepress.com/82131 2023-05-15T18:13:22+02:00 Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome AlQahtani,Reham Dakam Al Owaifeer,Adi Mohammed AlShahwan,Sami AlZaben,Khawlah AlMansour,Raghad 2023-03-09 text/html https://www.dovepress.com/outcomes-of-medical-and-surgical-management-in-aqueous-misdirection-sy-peer-reviewed-fulltext-article-OPTH en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/OPTH.S385864 https://www.dovepress.com/outcomes-of-medical-and-surgical-management-in-aqueous-misdirection-sy-peer-reviewed-fulltext-article-OPTH info:eu-repo/semantics/openAccess Clinical Ophthalmology Original Research info:eu-repo/semantics/article 2023 ftdovepress https://doi.org/10.2147/OPTH.S385864 2023-03-12T18:34:23Z Reham Dakam AlQahtani,1 Adi Mohammed Al Owaifeer,1,2 Sami AlShahwan,1 Khawlah AlZaben,1 Raghad AlMansour3 1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Ophthalmology Unit, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia; 3College of Medicine, Imam Mohammed bin Saud University, Riyadh, Saudi ArabiaCorrespondence: Adi Mohammed Al Owaifeer, Ophthalmology Unit, Department of Surgery, College of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa, 31982, Saudi Arabia, Tel +966135808573, Fax +966135800820, Email aalowaifeer@kfu.edu.saPurpose: To report the outcomes of medical and surgical management in patients diagnosed with aqueous misdirection syndrome (AMS).Patients and Methods: A retrospective chart review of all cases diagnosed with AMS at a single tertiary care eye center during the period from 2014 to 2021. Outcome measures were anatomical success (deepening of the anterior chamber (AC)), functional success (improvement in visual acuity), and treatment success (control of intraocular pressure (IOP)).Results: A total of 26 eyes with AMS from 24 patients were included. The patients were followed for a mean duration of 24 ± 18 months. Although some patients initially responded to medical and laser therapy, all but one (3.8%) eventually required surgery during the first 3 months after presentation. The mean duration from presentation until surgery was 45.9 ± 45.8 days (range: 2– 119 days). The majority of cases (69.2%) were managed by pars plana vitrectomy. At the last follow-up visit, anatomical success was achieved in 20 (76%) eyes, 15 (57%) eyes had a final visual acuity that was either similar to or better than baseline, and successful control of IOP was achieved in 17 (65%) eyes. Univariate analysis revealed that a history of trabeculectomy as a cause of AMS was a risk factor for treatment failure (OR, 7.8; 95% CI, 1.16– 52.35; P, 0.02).Conclusion: Our findings indicate that medical and laser management of AMS provide temporary control, and ... Article in Journal/Newspaper sami Dove Medical Press Clinical Ophthalmology Volume 17 797 806 |
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Clinical Ophthalmology AlQahtani,Reham Dakam Al Owaifeer,Adi Mohammed AlShahwan,Sami AlZaben,Khawlah AlMansour,Raghad Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
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Clinical Ophthalmology |
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Reham Dakam AlQahtani,1 Adi Mohammed Al Owaifeer,1,2 Sami AlShahwan,1 Khawlah AlZaben,1 Raghad AlMansour3 1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Ophthalmology Unit, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia; 3College of Medicine, Imam Mohammed bin Saud University, Riyadh, Saudi ArabiaCorrespondence: Adi Mohammed Al Owaifeer, Ophthalmology Unit, Department of Surgery, College of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa, 31982, Saudi Arabia, Tel +966135808573, Fax +966135800820, Email aalowaifeer@kfu.edu.saPurpose: To report the outcomes of medical and surgical management in patients diagnosed with aqueous misdirection syndrome (AMS).Patients and Methods: A retrospective chart review of all cases diagnosed with AMS at a single tertiary care eye center during the period from 2014 to 2021. Outcome measures were anatomical success (deepening of the anterior chamber (AC)), functional success (improvement in visual acuity), and treatment success (control of intraocular pressure (IOP)).Results: A total of 26 eyes with AMS from 24 patients were included. The patients were followed for a mean duration of 24 ± 18 months. Although some patients initially responded to medical and laser therapy, all but one (3.8%) eventually required surgery during the first 3 months after presentation. The mean duration from presentation until surgery was 45.9 ± 45.8 days (range: 2– 119 days). The majority of cases (69.2%) were managed by pars plana vitrectomy. At the last follow-up visit, anatomical success was achieved in 20 (76%) eyes, 15 (57%) eyes had a final visual acuity that was either similar to or better than baseline, and successful control of IOP was achieved in 17 (65%) eyes. Univariate analysis revealed that a history of trabeculectomy as a cause of AMS was a risk factor for treatment failure (OR, 7.8; 95% CI, 1.16– 52.35; P, 0.02).Conclusion: Our findings indicate that medical and laser management of AMS provide temporary control, and ... |
format |
Article in Journal/Newspaper |
author |
AlQahtani,Reham Dakam Al Owaifeer,Adi Mohammed AlShahwan,Sami AlZaben,Khawlah AlMansour,Raghad |
author_facet |
AlQahtani,Reham Dakam Al Owaifeer,Adi Mohammed AlShahwan,Sami AlZaben,Khawlah AlMansour,Raghad |
author_sort |
AlQahtani,Reham Dakam |
title |
Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
title_short |
Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
title_full |
Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
title_fullStr |
Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
title_full_unstemmed |
Outcomes of Medical and Surgical Management in Aqueous Misdirection Syndrome |
title_sort |
outcomes of medical and surgical management in aqueous misdirection syndrome |
publisher |
Dove Press |
publishDate |
2023 |
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https://www.dovepress.com/outcomes-of-medical-and-surgical-management-in-aqueous-misdirection-sy-peer-reviewed-fulltext-article-OPTH |
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sami |
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sami |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/OPTH.S385864 https://www.dovepress.com/outcomes-of-medical-and-surgical-management-in-aqueous-misdirection-sy-peer-reviewed-fulltext-article-OPTH |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/OPTH.S385864 |
container_title |
Clinical Ophthalmology |
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Volume 17 |
container_start_page |
797 |
op_container_end_page |
806 |
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1766185875116392448 |