Surgical management of post-traumatic angle recession glaucoma

Details

Serval ID
serval:BIB_19704D1114A9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgical management of post-traumatic angle recession glaucoma
Journal
Ophthalmology
Author(s)
Mermoud  A., Salmon  J. F., Barron  A., Straker  C., Murray  A. D.
ISSN
0161-6420 (Print)
Publication state
Published
Issued date
05/1993
Volume
100
Number
5
Pages
634-42
Notes
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: May
Abstract
PURPOSE: The purpose of this study is to compare the results of three different drainage procedures performed for uncontrolled post-traumatic angle recession glaucoma. METHODS: A retrospective analysis was undertaken of 87 drainage procedures performed on 65 patients over an 8-year period. The results of trabeculectomy (47 procedures), Molteno single-plate implantation (20 procedures), and trabeculectomy combined with antimetabolite (20 procedures) were compared. Of those treated with antimetabolite, 11 received postoperative subconjunctival injections of 5-fluorouracil and 9 received an intraoperative application of 0.02% mitomycin C to the trabeculectomy site. RESULTS: In the group undergoing trabeculectomy with antimetabolite therapy, the intraocular pressure (IOP) drop was significantly greater, the percentage of successful cases at 3 and 6 months postoperatively was significantly higher, and the number of postoperative glaucoma medications was significantly lower than the other two groups. No statistically significant differences were found between the groups undergoing trabeculectomy without antimetabolite therapy and Molteno implantation. Of concern were three cases of late bleb infection in the group that received postoperative antimetabolite therapy. CONCLUSION: In medically uncontrolled post-traumatic angle recession glaucoma, trabeculectomy with antimetabolite therapy is the most effective surgical procedure. However, late bleb infection is a significant risk.
Keywords
Adolescent Adult Aged Aged, 80 and over Anterior Chamber/injuries Child Combined Modality Therapy Drainage Eye Injuries/complications/*surgery Female Fluorouracil/administration & dosage Follow-Up Studies Glaucoma/etiology/*surgery Humans Intraocular Pressure Male Middle Aged Mitomycin/administration & dosage Postoperative Complications Prostheses and Implants Retrospective Studies Trabeculectomy Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 12:50
Last modification date
20/08/2019 12:50
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