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Abstract #3645 Published in IGR 4-2
Long-term follow-up study on Hunan aqueous drainage implantation for refractory glaucoma
Duan X; Jiang Y; Mo XHunan Yi Ke Da Xue Xue Bao 1999; 24: 139-142
One hundred and three cases (106 eyes) of refractory glaucoma underwent Hunan aqueous drainage (HAD) implantation from July 1993 to January 1998. The mean period of postoperative follow-up was 32.8 months. Intraocular pressure (IOP) decreased from 6.6 ± 1.8 kPa preoperatively to 2.2 ± 1.4 kPa postoperatively at the first year after surgery. The success rates were 83.8% at the first year, 80.4% at the second year, 77.1% at the third year, 71.0% at the fourth year, and 64.3% at the fifth year, using Kaplan-Meier lifetable analysis. The neovascular glaucoma had lower success rate. The success rate in 38 patients who also used mitomycin C at the operation was 89.5% at the first year. Common complications included early continuous flat anterior chamber, local choroidal detachment, increased IOP, etc. This study suggests that HAD implantation is an effective method in the treatment of refractory glaucoma despite its complications.
Dr. X. Duan, Department of Ophthalmology, Second Affiliated Hospital, Hunan Medical University, Changsha 410011, China
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
