Filtering Surgery in Aphakia and Pseudophakia.
- Author:
Youn Seong CHO
1
;
No Hoon KWAK
;
Nam Ho BAEK
Author Information
1. Department of Ophthalmology, Capital Armed Forces General Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Aphakic or pseudophakic glaucoma;
Site of filtering bleb;
Intraocular pressure reduction
- MeSH:
Aphakia*;
Blister;
Choroid;
Conjunctiva;
Corneal Edema;
Endophthalmitis;
Filtering Surgery*;
Glaucoma;
Humans;
Hyphema;
Intraocular Pressure;
Massage;
Postoperative Complications;
Pseudophakia*;
Retrospective Studies;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
1993;34(2):135-140
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aphakic or pseudophakic glau-oma is known to be at high risk for failure after filtration surgery. The authors retrospectively investigated the results of trabeculectomy in 14 eyes of 14 patients with glaucoma, seven aphakic and seven pseudophakic eyes, which were followed from six months to three years with an average ot 16.5 months. A conventional trabeculectomy without using antifibrotic agents was performed in all the eyes. The site of conjunctival incision was prepared on the virgin area of the conjunctiva; 8 superonasal, 4 inferonasal and 2 inferotemporal approaches. An average postoperative intraocular pressure reduction was 13.4 mmHg. The number of medications decreased in 11 eyes. A spontaneously developed functioning bleb was found in seven eyes. In other four eyes, the filtering bleb was formed with an aid of massage or needling. The remallllllg three eyes did not show a functioning bleb. Postoperative complications included hyphema in 3 eyes, overfiltration in 2 eyes, choroidal detachment in 1 eye, corneal edema in 1 eye and endophthalmitis in 1 eye.
