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Abstract #11550 Published in IGR 6-3
Outcome of surgery for glaucoma secondary to uveitis
Okada K; Kiuchi Y; Itou N; Saito Y; Nakajima M; Ikeda T; Yuasa TJapanese Journal of Clinical Ophthalmology 2004; 58: 1573-1577
We reviewed the outcome of surgery for uveitic glaucoma in 30 eyes of 24 patients. The causative lesion comprised Behcet disease 6 eyes, sarcoidosis 4 eyes, Vogt-Koyanagi-Harada disease 4 eyes, and unclassified 16 eyes. All the eyes received trabeculectomy with adjunct use of mitomycin C. When success was defined as control of intraocular pressure (IOP) below 21 mmHg 24 months after surgery, the survival rate was 81.6%. It was 34.7% when success was defined as IOP below 15 mmHg. The surgical outcome was independent of the type of uveitis, simultaneous cataract surgery or not, nor postoperative use of corticosteroid. The findings show that the effect of trabeculectomy with mitomycin C declines with lapse of time and that it is not very effective in maintaining IOP below 15 mmHg. LA: Japanese
Dr. K. Okada, Department of Ophthalmology, National Osaka Hospital, 2-1-14 Hoenzaka Chuo, Osaka 540-0006. Japan
Classification:
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
