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The authors reviewed the outcome of trabeculectomy with adjunctive mitomycin C in uveitic glaucoma in 59 eyes of 53 patients. Another series of similarly treated 65 eyes with primary open-angle glaucoma (POAG) served as a control. Eyes were defined as surgical success when the intraocular pressure was maintained at or below 21 mmHg without oral medications 60 months after surgery. Using the Kaplan-Meier life-table method, the success rate was 47.3% in eyes with uveitic glaucoma and 90.3% in eyes with POAG. The series comprised 27 eyes of uveitic glaucoma and 61 eyes of POAG, which had been operated on for the first time. The success rate was 76.3% in the former group and 90.3% in the latter. There was no significant difference between the two groups. Postoperatively, uveitis only recurred in two eyes in the uveitic group. The findings show that trabeculectomy with adjunctive mitomycin C is effective for uveitic glaucoma when performed as initial surgery. LA: Japanese
Dr Y. Imaizumi, Department of Ophthalmology, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama-shi 232-0024, Japan
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)