Cyclocryotherapy for refractory glaucoma af ter penetrating keratoplasty
- VernacularTitle:穿透性角膜移植术后难治性青光眼的睫状体冷冻术
- Author:
Yuesheng LIN
- Publication Type:Journal Article
- Keywords:
Corneal transplantation;
Glaucoma;
Cryosurgery
- From:
Ophthalmology in China
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Cyelocryotherapy using nitrogen monoxide was performed on 28 patients (28 eyes) with secondary glaucoma following penetrating keratoplasty, which had failed to respond to anti-glaucoma drugs and routine filtering procedures. All patients were followed up for more than one year. Intraoeular pressure was well under control in 89% of the eyes. The graft remained clear in 85%. The effective visual function was preserved in 82%. Our study showed that timely intervention, precisely controlled temperature) timing, extent of cryotherapy, and post-operative use of anti-rejection agents were key factors to suceess. Over-treatment, which may lead to atrophy of the eye, must be avoided. The effort should not be given up following under-treat-ment in the initial procedure.