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Accession number;04A0155702
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| Title;Outcome of nonpenetrating trabeculectomy for glaucoma |
| Author;
MURAKAMI TOMOAKI
(Graduate School of Medicine, Kyoto Univ., JPN)
MIYAMOTO HIDEKI
(Kishiwada Munic. Hospital, JPN)
KURAKAZU TOSHIAKI
(Toyooka Hospital, JPN)
HATA YUKIE
(Toyooka Hospital, JPN)
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Journal Title;Japanese Journal of Clinical Ophthalmology
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Journal Code:Z0515B
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ISSN:0370-5579
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VOL.58;NO.2;PAGE.187-191(2004)
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| Figure&Table&Reference;FIG.5, TBL.1, REF.17 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We performed nonpenetrating trabeculectomy (NPT) on 50 eyes of 40 patients. The series comprised primary open-angle glaucoma 33 eyes, normal-tension glaucoma 7 eyes, secondary glaucoma 4 eyes and others. Their ages averaged 71.6.+-.9.0 years. Eleven eyes received standard NPT and 39 eyes received additional deep sclerotomy. Thirty eyes received cataract surgery with intraocular lens implantation. Cases were followed up for an average of 10.0.+-.4.2 months after surgery. The intraocular pressure (IOP) averaged (20.7.+-.4.6 mmHg) before surgery. For 15 months after surgery, the averaged IOP remained below 15 mmHg. There was no significant difference in hypotensive effect between NPT alone and additional sclerotomy, not between glaucoma surgery alone and additional cataract surgery. There was no instance of bleb infection or overfiltration. Eleven eyes with insufficient hypotensive effect received goniopuncture using Nd: YAG laser with significantly decreased IOP. The findings show that nonpenetrating trabeculectomy is safe and effective for glaucoma. (author abst.) |
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