advertisement
Abstract #9979 Published in IGR 5-3
The combination of non-perforating trabecular surgery and amniotic membrane implantation in the treatment of secondary open-angle glaucoma
Zhong P; Dong Y; Li RChinese Ophthalmic Research 2003; 21: 524-526
OBJECTIVE: To evaluate the effectiveness of non-perforating trabecular surgery (NPTS) combination with amniotic membrane implantation on the treatment of secondary open-angle glaucoma. METHODS: NPTS with amniotic membrane implantation was performed in 16 eyes of 16 patients with secondary open-angle glaucoma. Postoperatively, IOP, intraocular reaction, bleb appearance, complications, and visual acuity were observed. The follow-up period ranged from six to 24 months. RESULTS: mean IOP was 13.52 ± 4.71, 16.30 ± 4.11, 16.38 ± 4.26, 16.54 ± 4.39 and 17.6 ± 4.58 mmHg, respectively, at months 1, 3, 6, 12 and 24 postoperatively. There was a statistically significant difference between mean preoperative IOP (46.24 ± 9.32 mmHg) and postoperative IOP (p < 0.01). During follow-up, IOP was > 21 mmHg in two eyes. One of them could be controlled with topical medicine, the other had to undergo further operation. Seventy-five percent of eyes had obvious diffuse blebs. Minimal complications were observed. The visual acuity was improved one month after surgery. CONCLUSION: NPTS combined with amniotic membrane implantation may be valuable as an initial surgery in patients with secondary open-angle glaucoma. LA: Chinese
Dr. P. Zhong, Henan Institute of Ophthalmology, Zhengzhou 450003, China
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
