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Abstract #16892 Published in IGR 9-1
Trabeculectomy with mitomycin C in secondary glaucoma associated with Behcet disease
Elgin U; Berker N; Batman A; Soykan EJournal of Glaucoma 2007; 16: 68-72
PURPOSE: To determine the outcome of initial trabeculectomy with mitomycin C (MMC) in the management of secondary glaucoma associated with Behcet disease (BD) in a 1-year follow-up period. METHODS: Twenty-three eyes of 13 cases with secondary glaucoma associated with BD, were evaluated prospectively. They underwent primary trabeculectomy with MMC. The operative success was defined as an intraocular pressure (IOP) ≤ 20 mmHg (± medical therapy) in the absence of phthisis and without the necessity of further surgery for glaucoma and success rates at the postoperative first day, first month, sixth month, and first year were determined. RESULTS: Success was achieved in all of the eyes (100%) at the postoperative first day and month, in 21 eyes (91.3%) at the postoperative sixth month and in 19 eyes (82.6%) at the postoperative first year. The mean preoperative IOP was 30.9 ± 5.3 mmHg under the mean 3.3 ± 0.7 antiglaucoma medications but it reduced to 16.8 ± 3.1 mmHg under the mean 1.7 ± 0.8 medications at the postoperative sixth month and 18.5 ± 3.2 mmHg under the mean 2.6 ± 1.1 medications at the postoperative first year. CONCLUSIONS: Trabeculectomy with MMC provides reduction of IOP and the number of antiglaucoma medications in cases with secondary glaucoma associated with BD in a 1-year follow-up period.
Dr. U. Elgin, M.D. Ankara Ulucanlar Eye Research Hospital, Ankara, Turkey. ufukelgin@superonline.com
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)