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Abstract #10767 Published in IGR 6-2
Outcome of viscocanalostomy for glaucoma
Miyake SJapanese Journal of Clinical Ophthalmology 2004; 58: 349-353
Viscocanalostomy was performed for various types of glaucoma in 139 eyes during the past 4 years. Surgery was performed when control of intraocular pressure (IOP) was poor with topical medications. Viscocanalostomy was performed as a single procedure in 99 eyes and with cataract surgery in 40 eyes. IOP before surgery averaged 29.0 ± 7.3 mmHg in noncataract group and 24.2 ± 8.1 mmHg in cataract group. One month after surgery, it averaged 15.4 ± 3.1 mmHg and 13.3 ± 3.5 mmHg respectively. Up to 36 months after surgery, I]OP averaged between 14.1 and 16.0 mmHg without and between 15. 3 and 16.5 mmHg with medication. There was no tendency for IOP to increase with lapse of time after surgery. IOP ranged between 13 and 18 mmHg in the majority of eyes. The incidence of IOP below 12 mmHg was between 5.3% and 15.1% without medication and 6.5 and 21.2% as a whole. The incidence of IOP below 14 mmHg was between 16.0% and 34.4% without medication and 20.0% and 42.4% as a whole. Throughout the period of observation, the IOP in cataract group was lower by 1. 1 to 3.3 mmHg than in noncataract group. Viscocanalostomy thus promises to be of value for glaucoma as it does not need mitomycin C and as it is safe and easy in its postoperative care. LA: Japanese
S. Miyake, Miyake Eye Hospital, 1070-Kami 5 Higashiozone-cho, Kita-ku Nagoya 462-0823
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
