Long-term Follow-up Results of Glaucoma Triple Procedures in Patients with Angle-closure Glaucoma

ABSTRACT

PURPOSE: To evaluate the long-term clinical efficacy for glaucoma triple procedures of angle-closure glaucoma. METHODS: The author reviewed retrospectively 30 eyes (Group A) which had undergone triple procedures for coexisting angle-closure glaucoma and cataract. The results were compared with those of 30 eyes (Group B) which had undergone trabeculectomy for angle-closure glaucoma and 25 eyes (Group C) which had undergone glaucoma triple procedures for open-angle glaucoma. All patients were followed up for more than 3 years after operation at the Department of Ophthalmology in a hospital from November 1990 to December 1999. RESULTS: The mean intraocular pressures at the last follow-up were 16.1mmHg, 20.9mmHg and 19.7mmHg and the surgical success rates were 83.3%, 63.3% and 68.0% in the triple procedure group of angle-closure glaucoma, trabeculectomy-alone group and triple procedure group of open-angle glaucoma respectively. CONCLUSIONS: Triple procedures in angle-closure glaucoma showed good long-term results in IOP control compared with the trabeculectomy-alone group in angle-closure glaucoma.