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Abstract #5701 Published in IGR 2-1
Outcome of surgery for goniodysgenetic glaucoma
Kubota T; Takada Y; Inomata HJapanese Journal of Clinical Ophthalmology 2000; 54:75-78
PURPOSE: To review the outcome of surgery for goniodysgenetic glaucoma. CASES AND METHODS: The authors performed surgery on 33 eyes of 21 patients with goniodysgenetic glaucoma. The series comprised six buphthalmic eyes and 27 eyes with late-onset goniodysgenetic glaucoma. Trabeculotomy was performed in six buphthalmic eyes, combined surgery of trabeculotomy and sinusotomy on 20 eyes, and trabeculotomy on seven eyes. All the cases were followed up for three months or longer after surgery. RESULTS: Intraocular pressure (IOP) in buphthalmic eyes averaged 25 mmHg before surgery and 12.7 mmHg at the last follow-up visit. IOP in eyes treated by combined procedure averaged 29.5 mmHg before surgery and 14.2±4.3 mmHg at the last follow-up visit. IOP in eyes treated by trabeculotomy alone averaged 29.1±6.4 mmHg before surgery and 13.4±3.5 mmHg at the last follow-up visit. The postoperative IOP spike was higher than the preoperative value in three eyes treated by the combined procedure and in two eyes treated by trabeculotomy alone. CONCLUSIONS: Trabeculotomy was effective in goniodysgenetic glaucoma including buphthalmos. Additional sinusotomy did not contribute to postoperative IOP control, but seemed to suppress postoperative tension spike. LA: <#>
Dr. T. Kubota, Department of Ophthalmology, Nagasaki Chuo National Hospital, 2-1001-1 Kubara, Ohmura-shi, Nagasaki-ken 856-8562, Japan
Classification:
9.1 Developmental glaucomas (Part of: 9 Clinical forms of glaucomas)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
