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Abstract #19078 Published in IGR 3-1
Trabeculectomy versus diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty
Nagai N; Ohtake Y; Nishiyama T; Tanino T; Yamada M; Mashima YFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2000; 51: 943-948
The authors studied the efficacy of trabeculectomy and diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty. The study was performed in 13 eyes of 12 patients. The mean intraocular pressure (IOP) was 26.6 ± 5.4 mmHg before trabeculectomy (11 eyes) and 22.5 ± 12.0 mmHg at the last visit. IOP was controlled in only two eyes (18%). On the other hand, the mean IOP was 28.8 ± 9.9 mmHg before diode laser cyclophotocoagulation (eight eyes) and 18.5 ± 8.3 mmHg with medication at the last visit. IOP was contorolled in 70% of cases three years after repeated cyclophotocoagulation procedures. Laser cyclophotocoagulation rarely causes severe complications and the procedure can be repeated, making cyclophotocogulation therapy relatively safe and effective to reduce IOP in eyes with refractory glaucoma after penetrating keratoplasty when trabeculectomy has not been effective. LA: Japanese
Dr N. Nagai, Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160 8582, Japan
Classification:
9.4.11.4 Glaucomas associated with corneal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)