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Abstract #18272 Published in IGR 3-3
Endoscopic goniotomy with anterior chamber maintainer: surgical technique and one-year results
Bayraktar S; Koseoglu TOphthalmic Surgery and Lasers 2001; 32: 496-502
The surgical technique of endoscopic goniotomy (EG) using the anterior chamber maintainer (ACM) for congenital glaucoma is evaluated, and one-year follow-up data are presented. Endoscopic goniotomy was performed in 12 eyes of seven patients. A double-port-special goniotomy knife mounted on the endoscope's probe inserted through the first incision and ACM through the second incision-EG technique was used in six eyes of three patients, while a three-port-knife, endoscope probe, and ACM inserted through separate incisions-technique was preferred in the remaining six eyes of four patients. EG of approximately 240° could be done without major complications in all eyes. At the end of the average follow-up period of 14.2 ± 9.7 months, the mean intraocular pressure (IOP) was reduced from 38.3 ± 6.9 mmHg to 17.6 ± 2.8 mmHg (p = 0.002), the average number of glaucoma medications from 2.1 ± 0.3 to 0.3 ± 0.5 (p = 0.001), and the mean cup/disk ratios from 0.84 ± 0.11 to 0.79 ± 0.14 (p = 0.014), while there was no statistically significant change in the average corneal diameter (p = 0.16). Therefore, endoscopic goniotomy with ACM was found to be an effective treatment modality for congenital glaucoma.
Dr S. Bayraktar, Glaucoma Department, Istanbul Surgery Hospital, Turkey
Classification:
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)