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Abstract #6918 Published in IGR 4-1
Effect of modified nonpenetrating trabeculectomy with or without trabeculotomy
Ogawa T; Yamashita M; So K; Dake YJapanese Journal of Clinical Ophthalmology 2002; 56: 147-152
The authors reviewed 64 eyes which received nonpenetrating trabeculectomy (NPT) with or without trabeculotomy (TLO). The series comprised primary open-angle glaucoma (39 eyes), capsular glaucoma (nine eyes), normal-tension glaucoma (eight eyes), primary closed-angle glaucoma (four eyes), and corticosteroid glaucoma (four eyes). Of 64 eyes, 31 received NPT only and 33 received combined surgery with NPT and TLO. Mitomycin C was used intraoperatively on 36 eyes. Simultaneous cataract surgery was performed on 38 eyes. After follow-up averaging 17 months, the intraocular pressure (IOP) averaged 15.8 mmHg in the NPT group and 12.2 mmHg in the combined group. The drug score averaged 1.6 in the former group and 0.9 in the latter. The difference in IOP decrease and drug score was significant (p = 0.003 and p = 0.01, respectively). The survival rate regarding IOP below 16 and 14 mmHg was significantly better in the combined group than in NPT group. There were no severe postoperative complications throughout. These findings show that a better IOP control may be achieved by the combined surgery, even in advanced glaucoma.LA: Japanese
Dr. T. Ogawa, Department of Ophthalmology, Nagasaki Municipal Hospital, 6-39 Shinchi-machi, Nagasaki-shi 850-8555, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
