Short-term changes in Bruch’s membrane opening-based morphometrics during the first week after trabeculectomy
Gietzelt C, Lüke JN, Adler W, Dietlein TS, Lappas A, Prokosch-Willing V, Roters S, Heindl LM, Cursiefen C, Enders P (2022)
Publication Type: Journal article
Publication year: 2022
Journal
DOI: 10.1007/s00417-022-05644-3
Abstract
Purpose: To evaluate the dynamics of Bruch’s membrane opening-based morphometrics of the optic nerve head (ONH) using spectral-domain optical coherence tomography (SD-OCT) during the first week after glaucoma surgery by trabeculectomy with mitomycin C. Methods: Prospective, longitudinal analysis of 25 eyes of 25 patients treated by trabeculectomy. Twenty-four eyes had evaluable postoperative SD-OCT examinations. Bruch’s membrane opening minimum rim width (BMO-MRW) and peripapillary retinal nerve fiber layer (RNFL) thickness were analyzed at baseline before surgery, 1 day, 2 to 3 days, and 1 week after surgery. Changes compared to baseline were correlated to intraocular pressure (IOP). Results: One day after surgery, the mean BMO-MRW changed by + 26.17 µm, p = 0.001 (mean IOP reduction by 17.01 mmHg). This increase persisted on day 2–3 with a mean increase of BMO-MRW of + 25.33 µm, p = 0.001 (mean IOP reduction by 20.46 mmHg) and by week 1 with a mean BMO-MRW increase of + 33.17 µm, p < 0.001 (mean IOP reduction by 22.55 mmHg). The increase in BMO-MRW correlated significantly with the reduction of IOP on day 1 (Spearman’s rho ρ = 0.656, p = 0.003) and d2–3 (Spearman’s rho ρ = 0.479, p = 0.038). There was no statistically significant correlation found between the IOP and the increase in BMO-MRW in week 1. RNFL thickness showed no significant changes at day 1 as well as days 2–3 (p ≥ 0.078, respectively). It showed a small but significant increase in week 1 by 3.94 µm, p = 0.015. Conclusions: Structural reversal of disc cupping in BMO-MRW occurs as early as 1 day after trabeculectomy and correlates to the extent of the IOP reduction. During the whole first week after surgery, a strong increase in BMO-MRW can be noted. The changes in BMO-based parameters need to be considered when evaluating patients’ longitudinal follow-up.
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Germany (DE)How to cite
APA:
Gietzelt, C., Lüke, J.N., Adler, W., Dietlein, T.S., Lappas, A., Prokosch-Willing, V.,... Enders, P. (2022). Short-term changes in Bruch’s membrane opening-based morphometrics during the first week after trabeculectomy. Graefes Archive For Clinical and Experimental Ophthalmology. https://doi.org/10.1007/s00417-022-05644-3
MLA:
Gietzelt, Caroline, et al. "Short-term changes in Bruch’s membrane opening-based morphometrics during the first week after trabeculectomy." Graefes Archive For Clinical and Experimental Ophthalmology (2022).
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