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Abstract #21255 Published in IGR 10-2
Trabeculectomy for acute angle - Closure glaucoma with persistent high intraocular pressure by ultra-sound biomicroscopy
Jia C; Zhang F-JJournal of Dalian Medical University 2008; 30: 48-50+55
OBJECTIVE: To analyze the dangerous of complications and to evaluate the efficacy and safety of the surgery of AACG with IOP after trabeculectomy. METHODS: Fifty-six cases (60 eyes) of primary acute angle-closure glaucoma, which received trabeculectomy, were divided into 2 groups by the preoperational IOP value, the high IOP group: 30 cases (30 eyes), IOP≥40 mmHg (1 mmHg = 0. 133 kPa), the control group: 26 cases (30 eyes), IOP < 40 mmHg. And routine examinations such as IOP, BSCVA and UBM were observed and analyzed by SPSS 11.5 statistically. RESULTS: No severe complications such as choroidal hemorrhage and malignant glaucoma were observed in all cases. The IOP of both groups were controlled between 7 to 16 mmHg after surgery. Most patients of high IOP gained a better vision. Cyclodialysis was observed in 1 case of high IOP group and 2 cases of the control group without significant difference (P > 0.05). CONCLUSIONS: Trabeculectomy for AACG with persistent high IOP is safe and effective. Trabeculectomy should be performed promptly after using adequate remedies. UBM is good to find cyclodialysis and anterior choriodal shallow detachment which conventional scan, ultrasound can't collect. UBM is very important for instructing the therapy of glaucoma preoperatively and postoperatively. LA: Chinese
Dr. C. Jia, Fushun Ophthalmopathy Hospital, Fushun 113008, China
Classification:
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
