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Abstract #19203 Published in IGR 3-1
Results of trabeculotomy in patients with primary congenital glaucoma
Ohta A; Nakatsue T; Funaki S; Suda K; Hara H; Shirakashi M; Fukuchi T; Abe HFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2000; 51: 1031-1034
PURPOSE: To evaluate the results of trabeculotomy for primary congenital glaucoma performed between 1982 and 1998 at Niigata University Hospital. METHODS: The success rate of one or more trabeculotomies performed before three years of age was evaluated by Kaplan-Meier analysis of results for 54 eyes with congenital or early-onset glaucoma (diagnosis before three months of age, n = 28) compared to late-onset glaucoma (diagnosis after three months of age, n = 26). RESULTS: The 54 eyes underwent one to three (mean 1.67 ± 0.6) trabeculotomies. The follow-up periods after trabeculotomy ranged from six months to 16.7 years (mean 91.3 ± 59.7 months). The mean intraocular pressure was 24.8 ± 7.5 mmHg before surgery. The probable success rate of one or more trabeculotomies was 70.1% at one year and 62.7% at five years. The probability of success was significantly lower (p < 0.01) for the 28 eyes with early-onset glaucoma compared to the 26 eyes with late-onset glaucoma. CONCLUSIONS: Trabeculotomy is a clinically successful treatment for primary congenital glaucoma; however, the operation has less probability of success in patients with early-onset glaucoma (diagnosis before three months of age). LA: Japanese
Dr A. Ohta, Department of Ophthalmology, Niigata Univ School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan
Classification:
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
