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
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
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 13:50
Last modification date
20/08/2019 13:50