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Abstract #25579 Published in IGR 12-1
Clinical observation of compound trabeculectomy and traditional trabeculetomy for primary angle-closure glaucoma
Lu M; Kong F -H; Liu J -H; Ren S -LInternational Journal of Ophthalmology 2009; 9: 2100-2101
AIM: To compare the postoperative occurrences of shallow anterior chamber, ophthalmotonic control and maintenance of functional filterling belbs between compound trabeculectomy and traditional trabeculetomy in treating primary angle-closure glaucoma. METHODS: One hundred and eighty-five cases (207 eyes) with primary angle-closure glaucoma were divided into two groups. Group A: 74 cases(81 eyes) underwent traditional trabeculetomy. Group B: 111 cases (126 eyes) underwent compound trabeculectomy. The incidence rate of shallow anterior chamber and the control of intraocular pressure(IOP) one week after operation were compared and analyzed, so were the the control of IOP and maintenance of functional filterling belbs one year after follow-up. RESULTS: The incidence rate of shallow anterior chamber one week after operation was 19.8% in group A and 8.7% in group B, and the difference was significant between the two groups( (chi)(2) = 5.28, P < 0.05). The control rate of IOP one week after operation was 88.9% in group A and 85.7%in group B, and the difference was not significant between the two groups ((chi)(2) = 0. 43), but after one year follow-up the control rate was 73.0% in group A and 90.2% in group B, and the difference was significant between the two groups ((chi)(2) = 6. 83, P < 0.01). The maintenance rate of functional filterling belbs was 80.8% in group A and 92.7% in group B, and the difference was significant between the two groups((chi)(2) =4.30, P < 0.05). CONCLUSION: The compound trabeculectomy is better than traditional trabeculetomy in keeping the depth of postoperative anterior chamber, and the long-term effect of IOP control and functional filterling belbs maintenance seems to be good. LA: Chinese
M. Lu. Department of Ophthalmology, Luhe Hospital of Beijing Tongzhou District, Beijing 101149, China. lacent71@yahoo.com.cn
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)