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Filtering surgery can be successful for patients with ICE syndrome

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FLORENCE, Italy — Filtering surgery can help preserve vision in patients with iridocorneal endothelial syndrome, according to a study presented here.

Heidar Amini, MD, and colleagues at Tehran University and the Shiraz University of Medical Science in Iran retrospectively evaluated 11 patients with iridocorneal endothelial (ICE) syndrome who underwent at least one trabeculectomy for uncontrolled intraocular pressure. The authors noted that eight of the patients included in the study also had progressive iris atrophy, two had iris nevus syndrome, and one had Chandler syndrome. Patients had a mean age of 39.4 ± 11.2 years.

Dr. Amini presented the results of the study during a poster session at the European Glaucoma Society meeting.

According to the study authors, IOP was reduced from a mean of 32.5 mm Hg preoperatively with an average of 2.8 glaucoma medications to a mean of 18.9 mm Hg postoperatively with an average of one glaucoma medication. Mean follow-up was 22 months.

The authors noted that two of the 11 eyes lost vision, despite multiple trabeculectomies and tube shunt implantations.