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Abstract #6243 Published in IGR 2-2
Valve implants of glaucoma pressure regulator for refractory glaucoma: own experience
Romaniuk W; Koziol H; Kozera A; Wylegala E; Zabierzewska-Perenc B; Muskalski KKlinika Oczna 1999; 101: 459-461
PURPOSE: To present experiences in valve implantation for refractory glaucoma. MATERIAL AND METHODS: From October 1993 to December 1996, glaucoma pressure regulator Optimed implantations were performed in seven eyes of seven patients. There were four men and three women aged from 32-65 years. There were three eyes with neovascular glaucoma due to diabetes mellitus, two eyes with posttraumatic glaucoma, including one case after keratoplasty, one eye with postkeratoplasty glaucoma, and one eye with aphakic glaucoma. Preoperative IOPs ranged from 33-61 mmHg (mean, 37.6 ± 7.2 mmHg). RESULTS: Success was considered to be an IOP of less than 22 mmHg without medication (complete success) or with medication (qualified success) without additional filtering surgery. Postoperative success was obtained in four of seven eyes after a follow-up period of 37.4 ± 17.08 months (range, 16-39 months). Early complications were hyphema (one patient, 14.3%), blockage of the intracameral portion of the tube (one patient, 14.3%), hypertony (one patient, 14.3%). Late complications were: external conjunctival bleb failure (two patients, 28.6%), blockage of the intracameral portion of the tube by fibrovascular tissue (one patient, 14.3%). CONCLUSIONS: These experiences confirm that the valve implant is today still an alternative surgical procedure for controlling IOP in eyes with refractory glaucoma that have visual potential.LA: Polish
Dr. W. Romaniuk, Oddzialu Okulistycznego Wojewodzkiego Szpitala Specjalistycznego, Poland
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
