Exploring Structural and Vascular Changes of the Optic Nerve Head After Trabeculectomy in Primary Open-Angle Glaucoma

Trabeculectomy was associated with measurable reversal of optic disc cupping, indicating partial structural recovery of the ONH following IOP reduction. The selective improvement in deep retinal vessel density suggests a layer-specific microvascular response. These findings provide further insight into the interplay between mechanical and vascular mechanisms in glaucoma and may inform postoperative monitoring strategies.

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Publication Details

Journal
Vision
Published
2025-12-07
DOI
https://doi.org/10.3390/vision9040097
Primary Topic
Glaucoma and retinal disorders
Type
article
Field-Weighted Citation Impact
0.00
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Exploring Structural and Vascular Changes of the Optic Nerve Head After Trabeculectomy in Primary Open-Angle Glaucoma

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Exploring Structural and Vascular Changes of the Optic Nerve Head After Trabeculectomy in Primary Open-Angle Glaucoma

F. Cappellani, Giovanni Rubegni, Marco Zeppieri, Fabiana D’Esposito, N Castellino, Antonio Longo, Alessandro Avitabile, Giuseppe Gagliano, Ludovica Cannizzaro
article en

Abstract

Trabeculectomy was associated with measurable reversal of optic disc cupping, indicating partial structural recovery of the ONH following IOP reduction. The selective improvement in deep retinal vessel density suggests a layer-specific microvascular response. These findings provide further insight into the interplay between mechanical and vascular mechanisms in glaucoma and may inform postoperative monitoring strategies.

VisionVol. 9(4)
University of Siena (IT), University of Udine (IT), University of Trieste (IT), Università degli Studi di Enna Kore (IT), University of Catania (IT)
Openalex Percentile: Top 47%
Glaucoma and retinal disorders
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