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Abstract #14311 Published in IGR 8-3
Clinical results of neodymium: YAG laser goniopuncture after deep sclerectomy
Wang L; Liang Y-B; Wang H; Zhang Q-W; Zhao L-L; Wang N-LOphthalmology in China 2006; 15: 102-104
OBJECTIVE: To observe and evaluate the intraocular pressure (IOP) lowering effect and complications of laser goniopuncture (LGP) after non-penetrating trabeculectomy (NPTS). DESIGN: A retrospective case series study. PARTICIPANTS: 23 patients (27 eyes) with glaucoma who had LGP after NPTS. METHODS: IOP before laser, at early stage and at late stage after laser were recorded and compared. MAIN OUTCOME MEASURES: Intraocular pressure and the complications. RESULTS: The average follow-up time was 15.87 ± 14.68 weeks, and the time between NPTS and laser was 11.4 ± 15.6 weeks. Among all 27 eyes, average IOP before laser was 19.7 ± 5.09 mmHg; average IOP at early stage after laser was 10.8 ± 3.7 mmHg. There was significant difference (P = 0.011). IOP decreased 45.2%. Among 16 eyes, which were followed-up at least 4 months, average IOP before laser was 19.2 ± 3.9 mmHg, average IOP at early stage and at late stage after laser were 11.9 ± 3.6 mmHg and 15.7 ± 2.9 mmHg respectively. There was significant difference (P = 0.000) too. IOP decreased 17.8%. Complications include iris prolapse, hypotony, and peripheral anterior synechia of iris. CONCLUSION: LGP is a safe and effective supplementary treatment for NPTS. It increases the successful rate of NPTS in terms of IOP lowering. LA: Chinese
Dr. L. Wang, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730, China
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
