Long Term Outcomes of Trabeculectomy in Juvenile Open Angle Glaucoma

Jie-lei HUANG; Xiang-xi CHEN; Yi-min ZHONG; Xiao-yu XU; Li-rong REN; Lei FANG; Xing LIU

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Long Term Outcomes of Trabeculectomy in Juvenile Open Angle Glaucoma

VernacularTitle:青少年型开角型青光眼滤过手术的长期临床疗效
Author: Jie-lei HUANG ^{1
,

2} ; Xiang-xi CHEN ³ ; Yi-min ZHONG ^{1
,

2} ; Xiao-yu XU ^{1
,

2} ; Li-rong REN ; Lei FANG ^{1
,

2} ; Xing LIU ^{1
,

2}
Author Information

1. State Key Laboratory of Ophthalmology//Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science， Zhongshan Ophthalmic Center， Sun Yat-sen University， Guangzhou 510060，China.
2. Zhongshan Aier Eye Hospital， Zhongshan 528403， China
3. Shenzhen People's Hospital， Shenzhen 518000， China
Publication Type:Journal Article
Keywords: juvenile open angle glaucoma; filtering surgery; trabeculectomy combined with MMC
From: Journal of Sun Yat-sen University(Medical Sciences) 2022;43(2):316-320
CountryChina
Language:Chinese
Abstract: ObjectiveTo evaluate the long term efficacy of trabeculectomy in juvenile open angle glaucoma （JOAG）. MethodsA total of 55 eyes of 31 patients with JOAG， who underwent trabeculectomy within 18 years old were retrospectively studied. Pre- and post-operative IOPs and other parameters were evaluated. ResultsThe post-op IOPs were significantly lower than that of pre-op IOPs（t=12.254，P＜0.001）. There was no significant change in C/D ratio， axial length， MD value of visual field， visual acuity and diopter before and after operation. The complete success rates for all eyes at 1， 3 and 6 years after operation were 92.7%， 70.4% and 42.6%， respectively. The conditional success rates were 92.7%， 81.0% and 81.0%， respectively. There were no severe intraoperative or post-op complications. ConclusionTrabeculectomy combined with MMC is a safe and successful method for the treatment of JOAG.