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Abstract #25968 Published in IGR 12-2
Phacoemulsification and trabeculotomy combined with goniosynechialysis for uncontrollable chronic angle-closure glaucoma
Kiuchi Y; Tsujino C; Nakamura T; Otori Y; Mochizuki HOphthalmic Surgery Lasers and Imaging 2010; 41: 348-354
BACKGROUND AND OBJECTIVE: To assess and explore the effectiveness of phacoemulsification and trabeculotomy combined with goniosynechialysis in lowering intraocular pressure in eyes with uncontrollable chronic angle-closure glaucoma. PATIENTS AND METHODS: The medical charts of 24 eyes of 22 patients with chronic angle-closure glaucoma were reviewed retrospectively. The probability of successful treatment in 12 eyes that had earlier glaucoma attacks and 12 that did not have an attack were evaluated with Kaplan-Meier life-table analysis with the target pressure set at 15 mm Hg. RESULTS: Mean preoperative intraocular pressure for all eyes was 33.3 (plus or minus) 12.0 mm Hg and decreased to 11.8 (plus or minus) 2.3 mm Hg. The success rate was 86.6% at 1 year after surgery. Life-table analysis showed that there was no significant difference in the two groups. CONCLUSION: Phacoemulsification and trabeculotomy combined with goniosynechialysis is an effective surgical treatment for chronic angle-closure glaucoma in eyes with or without a previous glaucoma attack.
Y. Kiuchi. Hiroshima University, Department of Ophthalmology and Visual Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
12.7 Surgical iridectomy (Part of: 12 Surgical treatment)
