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AIM: To investigate the effect of combined trabeculectomy on the secondary glaucoma induced by traumatic subluxation of lens. METHODS: In 7 patients (7 eyes) with clearing lens dislocation less than two quadrants and secondary glaucoma difficult to be controlled by medicine, we chose combined trabeculectomy in the quadrant without lens dislocation and vitreous incarceration. RESULTS: Six patients' intraocular pressure (IOP) restored normally (less than 21 mmHg) after operation among the 7 patients with follow-up of 6-12 months. The other patient's IOP could be controlled by medicine. Three patients obtained improvements in visual acuities. CONCLUSION: Combined trabeculectomy in the quadrant without lens dislocation and vitreous incarceration is an effective treatment for the secondary glaucoma induced by traumatic subluxation of lens.
Dr. W.-J. Li, Department of Ophthalmology, Northern Hospital of Traditional Chinese Medicine of Yulin City, Yulin 719000 Shaanxi Province, China
9.4.4.3 Glaucomas associated with lens dislocation (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
12.8 Filtering surgery (Part of: 12 Surgical treatment)