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We performed goniocurettage as the primary surgery for glaucoma in 13 eyes. The series comprised primary open-angle glaucoma 7 eyes, normal-tension glaucoma 1 eye, and capsular glaucoma 5 eyes. All the 13 eyes received, simultaneously, cataract surgery with intraocular lens implantation. The intraocular pressure (IOP) during the preoperative 6 months averaged 23.0 ± 3.8 mmHg when treated by an average of 2.6 ± 1.0 medications. Forty months after surgery, glaucoma was well controlled in 12 eyes (92%). The IOP averaged 16.6 ± 2.8 mmHg when treated by an average of 0.9 ± 0.7 medications. The decrease in IOP was sigificant (p < 0.01). The findings show that goniocurettage is effective, maybe through improved uveoscleral outflow. It can be performed together with cataract surgery. As a negative feature, IOP after goniocurettage lies at around 16 mmHg even with adjunctive use of medication. LA: Japanese
Dr. Y. Ueda, Department of Ophthalmology, Nagahama City Hospital, 313 Oh-Inui, Nagahama 526-0043, Japan
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)