Surgical Result in Glaucoma Associated with Iridocorneal Endothelial Syndrome.
- Author:
Young Ghee LEE
1
;
Kwon Min JOO
;
Ho Kyum KIM
;
Young Jae HONG
Author Information
1. The Institue of Vision Research, Yonsei University College of Medicine.
- Publication Type:Original Article
- Keywords:
Glaucoma;
Iridocorneal endothelial syndrome;
Surgical result
- MeSH:
Atrophy;
Endothelium, Corneal;
Filtering Surgery;
Follow-Up Studies;
Glaucoma*;
Humans;
Ice;
Iridocorneal Endothelial Syndrome*;
Iris;
Medical Records;
Retrospective Studies;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
1999;40(2):496-504
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Iridocorneal endothelial(ICE) syndrome is charaterized by unilateral glaucoma, abnormal corneal endothelium with proliferation, and iris stromal abnormalities. Uncontrolled glaucoma in ICE syndrome has been treated with filtering surgery, but the late failures occurred frequently. The medical records of nine patients with ICE syndrome that underwent glaucoma surgery were retrospectively reviewed. 6 eyes were progressive iris atrophy, and 3 eyes were Cogan-Reese syndrome. The success rates of primary trabeculectomy at 1 and 2 years were 57.1% and 33.3%, respectively. Ahmed glaucoma valve implant oeprations were performed on 6 eyes with failed previous filtering operation. 4 of 6 eyes resulted in controlled IOP until last follow up visit(mean ; 18.8 months). Overall, 1.9 times operations were needed to control IOP. Operations were performed only one time in 4 patients and two times in 3 patients to control IOP.
