Viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma.
Int J Ophthalmol
; 10(6): 919-924, 2017.
Article
en En
| MEDLINE
| ID: mdl-28730083
ABSTRACT
AIM:
To evaluate the long-term outcome of viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma.METHODS:
This is a retrospective study. Forty-two eyes of 26 patients with primary congenital glaucoma were enrolled. Intraocular pressure (IOP), corneal diameter (mm) and cup/disc (C/D) were measured before and after the surgery respectively. Follow-up period was 30mo.RESULTS:
The mean preoperative IOP was 30.6±7.35 mm Hg. Of the 42 eyes, 2 eyes were required conversion to trabeculectomy for the absence of Schlemm's canal. Of remained 40 eyes, 38 eyes (95%) achieved successful IOP control. The average postoperative IOP was 11.69±4.18 mm Hg at 12mo. The mean reduction was 18.91 mm Hg (P<0.0001). Eighteen (75%) eyes presented a reduction in corneal diameter, and 25 (62.5%) eyes presented a C/D ratio reversal after the surgery. There was no serious complication in any patients over the follow-up period.CONCLUSION:
Viscocanalostomy combined with trabeculotomy and mitomycin C is useful in the management of primary congenital glaucoma.
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Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
Int J Ophthalmol
Año:
2017
Tipo del documento:
Article