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Abstract #9980 Published in IGR 5-3
Nonpenetrating filtering surgery and goniopuncture (staged trabeculectomy) for episcleral venous pressure glaucoma
Libre PEAmerican Journal of Ophthalmology 2003; 136: 1172-1174
PURPOSE: To report long-term (>5 years) success of non-penetrating filtering surgery in glaucoma due to elevated episcleral venous pressure. DESIGN: Observational case report. METHODS: A 25-year-old female developed severe glaucoma due to elevated episcleral venous pressure. Nonpenetrating filtering surgery (opening of Schlemm's canal and resection of corneal stroma overlying the trabecular meshwork and Descemet's membrane) was performed with mitomycin. Three months later, the meshwork was perforated ab interno by Nd:YAG laser via goniolens (goniopuncture). RESULTS: There were no complications, and no glaucoma medications were used postoperatively. Intraocular pressure ranged from 10-18 mmHg during the first four months and thereafter between 6 and 12 mmHg. CONCLUSIONS: Glaucoma due to elevated episcleral venous pressure, an entity associated with significant trabeculectomy risks, can be safely and successfully treated with non-penetrating filtering surgery followed by goniopuncture (staged trabeculectomy).
Dr. P.E. Libre, Department of Ophthalmology, Columbia University, New York, NY, USA. pel3@columbia.edu
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
