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Abstract #18297 Published in IGR 3-3
Surgical outcomes of trabeculotomy combined with sinusotomy for juvenile glaucoma
Kubota T; Takada Y; Inomata HJapanese Journal of Ophthalmology 2001; 45: 499-502
PURPOSE: To evaluate the outcome of trabeculotomy combined with sinusotomy for juvenile glaucoma. METHODS: The authors studied 16 patients (25 eyes; age range, 11-50 years) with juvenile glaucoma, for a minimum follow-up period of one year. They performed combined trabeculotomy and sinusotomy surgery in 13 juvenile glaucoma patients (18 eyes), and trabeculotomy alone in six patients (seven eyes). RESULTS: The intraocular pressure (IOP) of the combined surgery group was 29.8 ± 7.8 mmHg before surgery and 15.6 ± 3.0 mmHg one year after surgery. IOP of the trabeculotomy-alone group was 29.1 ± 6.4 mmHg before surgery and 15.4 ± 2.4 mmHg one year after surgery. A postoperative IOP spike that was higher than the preoperative IOP was recorded in two eyes from the combined surgery group and in two eyes from the trabeculotomy group. The combined surgery group consisted of seven eyes with previously failed glaucoma surgery, and 11 eyes having first glaucoma surgery. The postoperative IOP in these 11 eyes was 15.5 ± 2.8 mmHg. CONCLUSIONS: Trabeculotomy is very effective in lowering IOP in patients with juvenile glaucoma. Sinusotomy does not play an important role in tension control.
Dr T. Kubota, Department of Ophthalmology, National Nagasaki Medical Center, 2-1001-1 Kubawa, Omura-shi, Nagasaki-ken 856-8562, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)