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Abstract #10223 Published in IGR 6-1
Outcome of nonpenetrating trabeculectomy for glaucoma
Murakami T; Miyamoto H; Kurakazu T; Hata YJapanese Journal of Clinical Ophthalmology 2004; 58: 187-191
The authors performed nonpenetrating trabeculectomy (NPT) on 50 eyes of 40 patients. The series comprised primary open-angle glaucoma (33 eyes), normal-tension glaucoma (seven eyes), secondary glaucoma (four eyes), and others. Ages averaged 71.6 ± 9.0 years. Eleven eyes received standard NPT and 39 additional deep sclerotomy. Thirty eyes received cataract surgery with intraocular lens implantation. Cases were followed up for an average of 10.0 ± 4.2 months after surgery. Intraocular pressure (IOP) averaged (20.7 ± 4.6 mmHg) before surgery. For 15 months after surgery, average IOP remained below 15 mmHg. There was no significant difference in hypotensive effect between NPT alone and additional sclerotomy, nor between glaucoma surgery alone and additional cataract surgery. There was no instance of bleb infection or overfiltration. Eleven eyes with insufficient hypotensive effect received goniopuncture using the Nd:YAG laser, with significantly decreased IOP. These findings show that nonpenetrating trabeculectomy is safe and effective for glaucoma. LA: Japanese
Dr. H. Miyamoto, Department of Ophthalmology, Kishiwada City Hospital, 1001 Gakuharacho, Kishiwada-shi 596-8501, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
