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@#AIM: To analyze the effect of ocular massage in patients after glaucoma filtering surgery.<p>METHODS: Databases including the CNKI, VIP Information, WanFang and CBM were electronically searched for all randomized controlled trials(RCTs)about comparing the intraocular pressure(IOP), forming efficiency of functional filtering blebs and success rate of filtering surgery between patients with and without ocular massage after receiving filtering surgery. Two reviewers independently screened literature according to the inclusion and exclusion criteria, and evaluated the included studies. Then, Meta-analysis was performed using RevMan5.3 software.<p>RESULTS: Totally 20 eligible studies involving 1 757 eyes of 1 750 individuals were included to investigate the effect of ocular massage in patients after glaucoma filtering surgery. Ten of the studies were related with IOP. The results of Meta-analysis showed that IOP was better controlled in patients with ocular massage in the postoperative 2wk, 1 and 3mo \〖(<i>WMD</i>= -0.96, 95%<i>CI</i>(-1.83, -0.09), <i>P</i><0.05\〗, \〖<i>WMD</i>= -2.68, 95%<i>CI</i>(-3.81, -1.55), <i>P</i><0.05\〗 and \〖<i>WMD</i>= -3.98, 95%<i>CI</i>(-5.00, -2.96), <i>P</i><0.05\〗, respectively. Fourteen of the studies were related with the forming efficiency of functional filtering blebs. The results of Meta-analysis showed that patients with ocular massage act better in forming functional blebs \〖<i>RR</i>=1.33, 95%<i>CI</i>(1.23, 1.44), <i>P</i><0.05)\〗. Nine of the studies were related with the success rate of surgery. The results of Meta-analysis showed that patients with ocular massage had higher rate of surgery success \〖(<i>RR</i>=1.41, 95%<i>CI</i>(1.28, 1.55), <i>P</i><0.05)\〗.<p>CONCLUSION: Ocular massage can help patients after filtering surgery to control IOP more effectively and promote the formation of functional filtering blebs, so as to improve the success rate of surgery.
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PURPOSE: To evaluate the course of the hypertensive phase (HP) after Ahmed glaucoma valve (AGV) implantation and the effects of digital ocular massage. METHODS: A total of 131 eyes of 131 patients, who underwent AGV implantation surgery, were studied retrospectively. HP was defined as an IOP (intraocular pressure) > or = 22 mm Hg within 6 months after surgery. Various clinical factors related to the occurrence of HP were analyzed. The HP group was compared to the non-HP group. Ocular massage was performed in patients showing acute elevation of IOP at a relatively early postoperative period, and the effects were compared with the non-massage group. The patients who received ocular massage were divided, based on its effects, and compared. RESULTS: HP developed in 62.6% of the patients after AGV surgery, and the success rate was significantly lower in the HP group. HP occurred more often in males and in patients with high IOP before surgery. HP developed in 82 eyes at 3.3 weeks after surgery in average. Ocular massage was performed in 30 eyes that showed acute IOP increase. The amount of IOP reduction, compared to 1 month after surgery, was greater in massage group than no massage group from 2 months to 3 years after surgery. Successful IOP control by ocular massage was observed in 14 eyes (46.7%), and the success rate was higher in these patients than the patients who showed no significant IOP reduction by ocular massage. But, the difference was not significant (p = 0.072). CONCLUSIONS: HP is related to the final outcome of surgery. Digital ocular massage can be used as an effective method to control HP and prevent further glaucomatous damage.
Subject(s)
Humans , Male , Eye , Glaucoma , Massage , Postoperative Period , Retrospective StudiesABSTRACT
PURPOSE: We determined immediate natural course of intraocular pressure (IOP) at different time points after intravitreal injection of triamcinolone acetonide (IVTA), and evaluated the effect of preoperative ocular massage to lower the immediate IOP spike after IVTA. METHODS: This prospective randomized comparative case-series study comprised sixty three eyes of 60 patients with macular edema. Thirty three eyes of 28 patients underwent IVTA (group A), and thirty eyes of 27 patients underwent IVTA with preoperative ocular massage (group B). Anterior chamber paracentesis was not performed in any of the eyes. The IOPs before and after massage, and the IOPs after IVTA (immediately, 10 minutes, 20 minutes, 30 minutes, and 1 hour, 2 hours after IVTA) were measured, respectively. RESULTS: Mean IOP reached a significant peak immediately after IVTA, and rapidly declined at 10 minutes, and then normalized after 20 minutes. Although Mean IOP was significantly lowered preoperatively by ocular massage, the IOP increment at any time point after IVTA was not significantly different between two groups. CONCLUSIONS: The significant IOP spike immediately after IVTA was rapidly normalized over 20 minutes. Preoperative ocular massage was not significantly effective in diminishing the immediate IOP elevation and its persistence after IVTA.