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Abstract #12662 Published in IGR 7-3
Outcome of viscocanalostomy. Comparison with trabeculotomy-sinusotomy
Sekine A; Hoshiai S; Fukushima T; Inokawa S; Suzuki S; Koshino T; Kurihara HJapanese Journal of Clinical Ophthalmology 2005; 59: 1471-1474
PURPOSE: To compare the outcome of viscocanalostomy (VC) with trabeculotomy-sinusotomy. Cases and METHOD: VC was performed on 27 eyes during an 8-month period. Simultaneous cataract surgery was performed on 14 eyes. Trabeculotomy with sinusotomy was performed on 29 eyes to serve as control. Simultaneous cataract surgery was performed on 13 eyes. RESULTS: Complications of VC included microdisruption of trabecular mesh-work (22%), transient ocular hypertension (19%) and hypotension (7%). Additional glaucoma surgery was performed in 8 out of 13 eyes (62%) after VC alone and in 1 out of 14 eyes (7%) after VC with cataract surgery. There was no difference in intraocular pressure (IOP) up to 4 years after surgery between VC group and controls. Drug score was higher in VC group than in controls by one eyedrop. CONCLUSION: VC can be considered as a safe surgical method. Up to 4 years after surgery, similar IOP-reduction is achieved by VC as controls with one more medication. LA: Japanese
Dr. A. Sekine, Kurihara Eye Hospital, 289 Shimoiwase, Hanyu 348-0045, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
