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WGA Rescources

Abstract #13709 Published in IGR 8-2

Results of trabeculectomy with adjunctive intraoperative mitomycin C in Chinese patients with glaucoma

Tham CC; Lai JS; Poon AS; Lai TY; Lam DS
Ophthalmic Surgery Lasers and Imaging 2006; 37: 33-41


BACKGROUND AND OBJECTIVE: To report the results of trabeculectomy with adjunctive intraoperative mitomycin C in Chinese patients with glaucoma. PATIENTS AND METHODS: The medical records of Chinese patients who received trabeculectomy with intraoperative mitomycin C from 1992 to 1998 were retrospectively reviewed. A 'successful' trabeculectomy was defined as one after which the intraocular pressure (IOP) could be controlled to between 5 and 21 mmHg, inclusive, with no more than three glaucoma medications. RESULTS: One hundred fourteen trabeculectomies in 105 eyes of 90 patients were retrospectively reviewed. Mean age ± standard deviation was 48.1 ± 21.9 years. Primary open-angle glaucoma (43.0%) and angle-closure glaucoma (27.2%) were the most common diagnoses leading to trabeculectomy. The mean follow-up ± standard deviation was 29.6 ± 18.6 months (range, 6 to 92 months). The overall success rate at the last follow-up was 73.7% (84 of 114 trabeculectomies). CONCLUSIONS: Trabeculectomy with mitomycin C is a safe and effective procedure for the control of IOP in Chinese patients with glaucoma.

Dr. C.C. Tham, Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, People's Republic of China


Classification:

12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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