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Abstract #8544 Published in IGR 5-1
Outcome of modified nonpenetrating trabeculectomy for capsular glaucoma
Takeuchi A; Hisada Y; Nagata T; Kida Y; Hasegawa O; Kondo S; Yamamoto M; Nakamura S; Saito Y; Iwaki MJapanese Journal of Clinical Ophthalmology 2002; 56: 1595-1599
The authors performed modified nonpenetrating trabeculectomy on 12 eyes of 11 cases of capsular glaucoma and 25 eyes of 18 cases of primary open-angle glaucoma (POAG). The final outcome was evaluated after 21.8 ± 8.7 months in capsular glaucoma and after 21.5 ± 6.9 months in POAG. The presurgical intraocular pressure (IOP) averaged 23.4 ± 5.4 mmHg in capsular glaucoma and 22.4 ± 3.3 mmHg in POAG under medication. The final IOP averaged 17.0 ± 5.0 mmHg and 13.4 ± 3.7 mmHg respectively. The difference was significant (p = 0.018). The incidence of IOP less than 14 mmHg without medication was 8.3% in capsular glaucoma and 52.0% in POAG. The difference was significant (p = 0.011). Filtering bleb was formed in 50% of capsular glaucoma and in 88% of POAG. The difference was significant (p = 0.019). The present surgical method was thus effective for POAG and less effective for capsular glaucoma. There is a possibility that a high resistance to aqueous outflow may persist in capsular glaucoma due to residual pseudoexfoliative material in the trabecular meshwork.LA: Japanese
Dr. A. Takeuchi, Department of Ophthalmology, Aichi Medical University School of Medicine, 21 Yazako-Karimata Nagakute-cho, Aichi-gun Aichi-ken, 480-1195, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
