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Abstract #14218 Published in IGR 8-3
Limbosclerectomy with valve drainage through supraciliaris treating aphakic and pseudophakic glaucoma
Hou XChinese Ophthalmic Research 2006; 24: 199-202
OBJECTIVE: Glaucoma of aphakia or pseudophakia belongs to refractory glaucoma. This study was to estimate the effect of limbosclerectomy with valve drainage through supraciliaris (LSEVDS) for patients with aphakic and pseudophakic glaucoma. METHODS: 103 cases (109 eyes) with aphakic and pseudophakic glaucoma were respective reviewed, of whom 45 (46 eyes) were aphakic and 58 (63 eyes) were pseudophakic. LSEVDS were performed on 26 aphakic (26 eyes) and 34 pseudophakic (36 eyes) cases and the classic trabeculectomy were performed on other 19 aphakic (20 eyes) and 24 pseudophakic (27 eyes) patients. The visual acuity, intraocular pressure (IOP), visual field, filtering bleb type, anterior chamber angle, anterior chamber depth and other complications were followed-up for 12-30 months in all patients. RESULTS: At the 12th month after surgery, the IOP decreased from (25.85 ± 4.78) mmHg to (12.11 ± 4.07) mmHg in aphakia and from (29.58 ± 8.08) mmHg to (13.44 ± 5.29) mmHg in pseudophakia respectively in LSEVDS group, while the IOP was declined from (25.40 ± 5.02) mmHg to (18.00 ± 4.28) mmHg in aphakia and from (25.62 ± 6.08) mmHg to (18.63 ± 3.90) mmHg in pseudophakia in classic trabeculectomy group, showing both operative procedures could significantly reduce the IOP but had a more reduction value in LSEVDS group then classic trabeculectomy (P < 0.05). The complications of LSEVDS include hyphema (11.2%), choroidal detachment (6.5%), hypotonia (19.2%) and shallow anterior chamber (11.2%), but all the complications improved within 2 weeks. The visual acuity did not improved after operations statistically. CONCLUSION: LSEVDS is more effective than classic trabeculectomy in managing aphakic and pseudophakic glaucoma. LA: Chinese
Dr. X. Hou, Department of Ophthalmology, People's Hospital of Peking University, Beijing 100044, China
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
