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OBJECTIVE: To study the surgical approach to treatment secondary glaucoma to iridocorneal endothelial (ICE) syndrome. METHODS: Of ten cases with secondary glaucoma due to ICE syndrome, Ahmed glaucoma valve was implanted in three cases, anAhmed glaucoma valve combined with anti-glaucoma operation in seven. Intraocular pressure (IOP) and visual acuity were measured after surgery. RESULTS: Intraocular pressure (IOP) in all cases was < 21 mmHg at one month after surgery. IOP in eight cases was < 21mmHg at six months after surgery, giving a success rate of 80%. The mean IOP was 10.3 ± 8.36 mmHg, the difference was significant in comparison with preoperation (t = 6.66, p < 0.05). Visual acuity showed postoperative improvement. The postoperative complications were shallow anterior chamber and encapsulated bleb. CONCLUSION: Various surgical approaches are effective in treating secondary glaucoma to ICE syndrome, although every method has its own complications.LA: Chinese
Dr. X. Wang, Zheyi Eye Center, First Affiliated Hospital of the Medical College, Zhejiang University, Hangzhou 310003, China. sjwzzk@sina.com
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)