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Abstract #3532 Published in IGR 4-2

The effects of topical administration of pilocarpine on the successful rate of trabeculectomy for primary closure-angle glaucoma

Zhang J; Lin J; Li X
Chinese Ophthalmic Research 2002; 20: 150-152


OBJECTIVE: To explore the relationship of the long-term administration of 1% pilocarpine with trabeculectomy outcomes. METHODS: Eighty-eight patients with primary closure-angle glaucoma were divided into three groups according to the duration of topical medication before trabeculectomy. Intraocular pressure (IOP), visual fields, filtering bleb, filtering fistula, and iris adhesion were examined postoperatively. RESULTS: The successful rate of trabeculectomy was significantly low in patients on more than three years of topical medication. There was some significant difference in IOP (p < 0.01), visual fields (p < 0.01), filtering bleb (p < 0.05), filtering fistula (p < 0.01) and iris adhesion (p < 0.01). CONCLUSIONS: The trabeculectomy outcome is significantly related to long-term administration of 1% pilocarpine. The time of topical medication should be shortened preoperatively as early as possible. LA: Chinese

Dr. J. Zhang, Tianjin Second Central Hospital, Tianjin 300120, China


Classification:

9.3.2 Chronic 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)



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