The purpose of this study was to determine whether preoperative topical antiglaucomatous therapy influences the outcome of subsequent trabeculectomy. We investigated 50 eyes of 36 patients with primary open anlge glaucoma(POAG)and 86 eyes of 77 patients with primary angle closure glaucoma (PACG), who had undergone trabeculectomy. All the patients had received topical antiglaucomatous therapy preoperatively and had been followed up for at least 6 months postoperatively. Both groups, POAG and PACG were divided into two subgroups according to the duration of preoperative antiglaucomatous therapy: (a)for less than 1 month and (b)for more than 6 months. The criterion for success was maintenance of postoperative intraocular pressure(IOP)below 21 mmHg without medication. The rates of success were compared at 1 week, 1 month, 3 months, and 6 months postoperatively. In POAG patients, the overall success rate was clinically significantly higher in subgroup (a)than in subgroup (b)(P<0.05). The success rate in subgroup (a)of POAG patients remained higher irrespective of class of antiglaucomatous medications(P<0.05). In PACG patients, the success rate was also higher in subgroup A, but it failed to reach clinical significance. Postoperative mean IOP was slightly lower in subgroup (a)of all the participants, but it was not clinically significant. Our study suggests that long-term use topical antiglaucoma medications can affect adversely the result of filtering surgery in POAG.
Filtering Surgery ; Glaucoma, Angle-Closure ; Humans ; Trabeculectomy*

PURPOSE: To report the surgical outcome of juvenile glaucoma who had filtering surgery with Mitomycin C (MMC). METHODS: We have studied 38 patients (42 eyes, respectively) who were diagnosed as primary open angle glaucoma (31 patients), secondary open angle glaucoma (6 patients) and primary angle closure glaucoma (1 patients). The patients have been followed up for 24 months. RESULTS: Of total 42 eyes, 32 eyes had trabeculectomy only and the other 10 eyes had combined trabeculectomy and trabeculotomy. Mean preoperative intraocular pressure (IOP) was 34.4+/-12.0 mmHg, which was dropped to 13.3+/-4.0 mmHg postoperatively. There were statistically significant drop of IOP after filtering operation (P<0.05). However, success rate between group of age 10-25 and group of age 26-40 was not significantly different (90.5%, 76.2%, respectively). CONCLUSIONS: In conclusion, the filtering operation significantly decreases IOP in juvenile glaucoma.
Filtering Surgery ; Glaucoma ; Glaucoma, Angle-Closure ; Glaucoma, Open-Angle ; Humans ; Intraocular Pressure ; Mitomycin ; Trabeculectomy

14 eyes of 11 patients with chronic angle-closure glaucoma(CACG) undergoing extracapsular cataract extraction(ECCE) with posterior chamber intraocular lens(PCIOL) implantation(group 1) and 14 eyes of 12 patients without glaucoma undergoing ECCE/PCIOL(group 2) were studied to assess the effect on anterior chamber depth, anterior chamber angle, and intraocular pressure (IOP). We measured the anterior chamber depth and angle using the EAS-1000 Scheimpflug camera. Following ECCE/PCIOL in group 1, the anterior chamber depth increased 1.00 +/- 0.25mm(p=0.0001), the anterior chamber angle widened 15.36 +/- 5.61 degrees(p=0.0001), and the postoperative IOP drop of 4.7mmHg(23.9%) showed statistical significance. Group 2 showed the increase of anterior chamber depth 0.22 +/- 0.44mm(p=0.0964), the widening of anterior chamber angle 2.51 +/- 2.65 degrees(p=0.0047), and the decrease of IOP 0.9mmHg(6.2%, p=0.0933). The effects on anterior chamber depth, anterior chamber angle, and rap were statistically significant between the two groups. Based on these results, we recommend that eyes with cataract and CACG may be considered for ECCE/PCIOL implantation as a first procedure rather than combined cataract and filtering surgery.
Anterior Chamber ; Cataract Extraction* ; Cataract* ; Filtering Surgery ; Glaucoma ; Glaucoma, Angle-Closure* ; Humans ; Intraocular Pressure

The accuracy of vision test chart is very important in examination of the visual acuity. The author examined the accuracy of the Cheongsan Vision Chart which is an imitative print of Dr. Chun Suk Hahn's Vision Test Chartby measuring it's test types of Landolt's rings, Arabic figures, Korean letters and pictures in detail with micrometer and surgical loupe. The errors in size of test types of Cheongsan Vision Chart to the standard size which was authorized by the Ministry of Health and Social Affairs of Korea in 1972 for the Chun Suk Hahn's Vision Test Chart are found as follows: 1. Error in Landolt's rings. 0.2-32.7%, av. 9.0%. Error over+/-10% in 35.7%. 2. Error in Arabic figures. 0.1-70.4% av. 12.8%. Error over+/-10% in 47.6%. 3. Error in Korean letters. 0.2-55.9% av. 15.4%. Error over+/-10% in 57.1%. 4. Error in pictures. 0.2-15.1% av. 0.9%. Error over+/-10% in 8.1%. In this study the author found that the Cheongsan Vision Chart is lacking in accuracy for examination of visual acuity.
Aphakia ; Arabs ; Argon* ; Filtering Surgery ; Glaucoma ; Glaucoma, Angle-Closure ; Humans ; Korea ; Uveitis ; Vision Tests ; Visual Acuity

Argon laser iridotomy was performed on 67 eyes, 49 patients with angle-closure glaucoma: 24 eyes(18 patients) with acute angle-closure glaucoma, 15 eyes(12 patients) with chronic angle-closure glaucoma, 4 eyes(4 patients) with pupillary block glaucoma in aphakia, 6 eyes(4 patients) with glaucoma to uveitis, and 18 fellow eyes on the patients who have monocular angle-closure glaucoma. Iridotomy holes were satisfactorily produced in every eye treated except one eye, 64 eyes(95.5%) having one or two treatment, but failed in one eye with acute type, The procedure was easily done with a small amount of laser energy when it used in the short duration of 0.05 second only rather than the long duration above 0.05 second or others. Postoperatively, of 38 eyes with primary angle-closure glaucoma treated successfully, 12 eyes(31.5%) required no medication, 21 eyes(55.3%) needed the addition of either one or two topical drugs, and filtering surgery was necessary in 5 eyes(13.2%). It was related to the extent of peripheral anterior synechiae. Other 26 eyes required no medication. The closure of iridotomy holes was rare and easily treated in two eyes with uveitic angle-closure glaucoma. And laser iridotomy revealed no major complication.
Aphakia ; Arabs ; Argon* ; Filtering Surgery ; Glaucoma ; Glaucoma, Angle-Closure ; Humans ; Korea ; Uveitis ; Vision Tests ; Visual Acuity

No abstract available.
Female ; Glaucoma, Angle-Closure/complications/surgery ; Humans ; Middle Aged ; Optic Neuropathy, Ischemic/complications/*diagnosis

No abstract available.
Female ; Glaucoma, Angle-Closure/complications/surgery ; Humans ; Middle Aged ; Optic Neuropathy, Ischemic/complications/*diagnosis

In order to study the clinical characteristics of primary acute angle closure glaucoma, we analyzed the data of 72 eyes from 63 patients with the disease from January 1, 1990 to December 31, 1993 to the Department of Ophthalmology of Chonnam University Hospital. The mean age of the patients was 63.3 years and female and male ratio was 5.9:1. And the mean IOP at first visit was 53.2 mmHg. There was no significant difference of rop between right and left eyes, and 11 patients had the disease in both eyes. 38% of the patients developed the disease in winter time. The development of the disease was closely associated with physical illness and emotional stress. 39 eyes(49.3%) of them was required filtering surgery because medication and laser treatment was insufficient to lower IOP.
Female ; Filtering Surgery ; Glaucoma, Angle-Closure* ; Humans ; Jeollanam-do ; Male ; Ophthalmology ; Stress, Psychological ; Trabeculectomy

The purpose of this study is to compare the efficacy and safety of 0.25 and 0.5mg/ml of mitomycin C(MMC) on the outcome of glaucoma filtration surgery in eyes undergoing primary trabeculectomy. Twenty-eight eyes of 20 patients with primary open-angle glaucoma or primary angle-closure glaucoma, who underwent primary trabeculectomy with 0.25mg/ml MMC for 3 minutes were compared with a demographically similar group of 31 eyes of 22 patients with primary open-angle glaucoma or primary angle-closure glaucoma, who had undergone primary trabeculectomy with 0.5mg/ml MMC for 3 minutes. MMC was applied between the sclera and Tenon's capsule during trabeculectomy, and scleral flap was closed with tight releasable sutures. The mean preoperative intraocular pressure was 35.2 +/- 9.3mmHg in the 0.25mg group and 32.1 +/- 9.2mmHg in the 0.5mg group(p=0.21, Student's unpaired t-test). The mean number of preoperative medications was 2.7 +/- 0.9 and 2.7 +/- 0.8(p=0.92, Mann Whitney U test), respectively. No statistically significant differences were found in mean intraocular pressures between the two groups at the three. six, and nine months postoperative periods. The mean follow-up was 9.2 months in the 0.25mg group and 9.0 months in the 0.5mg group(p=0.82, Student's unpaired t-test). At the last postoperative visit. 89%(25 eyes) in the 0.25mg group and 97%(30 eyes) in the 0.5mg group had an intraocular pressure less than 21mmHg with or without glaucoma medication(p=0.50, Fisher exact test). The mean intraocular pressures were 16.0 +/- 6.9mmHg and 13.6 +/- 3.6mmHg, respectively (p=0.10, Student's unpaired t-test). The 0.25mg group received an average of 0.5 medications for IOP control, and the 0.5mg group received an average of 0.2 medications(p=0.32, Mann Whitney U test). The postoperative visual outcome of the two groups did not differ significantly(p=0.27, Fisher exact test). There was no significant difference in complications between the two groups. Hypotony developed in one eye in the 0.5mg group. These results suggest that using 0.25 and 0.5mg/ml MMC for 3 minutes in primary trabeculectomy yields similar results in terms of efficacy and safety.
Filtering Surgery ; Follow-Up Studies ; Glaucoma* ; Glaucoma, Angle-Closure ; Glaucoma, Open-Angle ; Humans ; Intraocular Pressure ; Mitomycin* ; Postoperative Period ; Sclera ; Sutures ; Tenon Capsule ; Trabeculectomy*

Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Regarding the number of anti-glaucoma medications, it was higher in the phacoemulsification combined with trabeculectomy group preoperatively than the phacoemulsification only group (p = 0.045), but both groups were taking similar quantities of medication at the final follow-up (p = 0.6). In addition, postoperative hypotony (two cases) occurred only after phacoemulsification combined with trabeculectomy, but not after phacoemulsification only. In one case after phacoemulsification only, a second operation was needed. There were no additional postoperative complications. In conclusion, both phacoemulsification only and phacoemulsification combined with trabeculectomy showed good surgical outcomes in PACG patients. Both procedures might be equally effective in treating patients with PACG.
Aged ; Female ; Glaucoma, Angle-Closure/*surgery ; Humans ; Male ; Middle Aged ; Phacoemulsification/*methods ; Retrospective Studies ; Trabeculectomy/*methods ; Treatment Outcome