J Korean Ophthalmol Soc.  2012 Jan;53(1):94-102. 10.3341/jkos.2012.53.1.94.

A Case of Paranasal Diffuse Large B-Cell Lymphoma with the Orbital Invasion Masquerading as Chronic Sinusitis

• Lee YJ
• Hong S
• Kim CY
• Seong GJ

• KMID: 2215250
• DOI: http://doi.org/10.3341/jkos.2012.53.1.94

Abstract

PURPOSE
To compare surgically induced corneal astigmatism following trabeculectomy versus deep sclerectomy and collagen implant (DSCI).
METHODS
37 consecutive eyes of 28 patients having glaucoma surgeries for uncontrolled open-angle glaucoma were retrospectively analyzed. 16 eyes had trabeculectomy and 21 eyes had DSCI. Visual acuity, intraocular pressure (IOP) and autorefractokeratometry of both groups were evaluated preoperatively and 1, 7 days, 1, 3, 6, 12 months postoperatively. Postoperative changes in corneal astigmatism were evaluated using vector analysis.
RESULTS
Mean age was 51.63 +/- 12.73 years in the trabeculectomy group and 39.95 +/- 15.09 years in the DSCI group and differed between groups (p = 0.015). Visual acuity was significantly decreased after surgery compared with preoperative values and was improved slowly in both groups. Intraocular pressure was lower in the trabeculectomy group than in the DSCI group at postoperatively 1 and 6 months (p = 0.046 and 0.029, respectively). There was no significant difference in surgically induced corneal astigmatisms (SIA) between both surgeries, which decreased over time in the group with stable postoperative IOP. They showed with-the-rule astigmatism immediate postoperatively. The DSCI group with MMC showed less SIA than the group without MMC.
CONCLUSIONS
Surgically induced astigmatisms following trabeculectomy and deep sclerectomy with collagen implant were not differ significantly between two surgeries.

Keyword

Deep sclerectomy; Mitomycin C; Surgically induced corneal astigmatism; Trabeculectomy

MeSH Terms

Astigmatism
B-Lymphocytes
Collagen
Eye
Glaucoma
Glaucoma, Open-Angle
Humans
Intraocular Pressure
Lymphoma, B-Cell
Mitomycin
Orbit
Retrospective Studies
Sinusitis
Trabeculectomy
Visual Acuity
Collagen
Mitomycin

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