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Abstract #12661 Published in IGR 7-3
Short-term outcome of trabeculotomy by modified deep sclerectomy
Kotera Y; Hayashi H; Tamura K; Kimura T; Ueda YJapanese Journal of Clinical Ophthalmology 2005; 59: 1561-1565
PURPOSE: To describe the outcome of trabeculotomy by modified deep sclerectomy for glaucoma. This technique intends to facilitate aqueous outflow into the uveoscleral space. CASES: Seven glaucoma eyes were operated by this method. They comprised primary open-angle glaucoma 3 eyes, capsular glaucoma 2 eyes, and normal-tension glaucoma 2 eyes. Another series of 5 glaucoma eyes received trabeculotomy alone and served as control. RESULTS: The baseline intraocular pressure (IOP) averaged 25.9 ± 5.6 mmHg without medication and 20.9 ± 1.9 mmHg after topical medication with 1.6 ± 0.8 drugs. IOP in controls averaged 25.0 ± 4.7 mmHg without medication and 19.4 ± 1.3 mmHg after medication with 2.0 ± 1.0 drugs. There was no significant difference between the two groups. IOP 6 months after surgery averaged 12.3 ± 1.6 mmHg under medication with 0.1 ± 0.4 drugs. There was no filtering bleb. IOP in controls averaged 16.2 ± 1.5 mmHg without medication. Decrease in IOP was greater in the 7 eyes than in controls (p < 0.05). CONCLUSION: Modified deep sclerectomy in trabeculotomy resulted in better IOP-lowering effect 6 months after surgery. LA: Japanese
Dr. Y. Ueda, Department of Ophthalmology, Nagahama City Hospital, Oh-Inuicho, Nagahama 526-0043, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
