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Holmium-YAG laser sclerostomy ab externo for glaucoma filtering surgery Eiji Onda 1 , Hiroshi Ando 1 , Kazuhiro Honbe 1 , Shuichi Jikihara 1 , Yoshiaki Kitazawa 1 1Dept of Ophthalmol, Gifu Univ Sch of Med pp.1555-1559
Published Date 1992/11/15
DOI https://doi.org/10.11477/mf.1410901387
  • Abstract
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We performed sclerostomy ab externo with hol-mium-YAG laser in 14 eyes with uncontrollable glaucoma. In each of 14 procedures in 14 eyes, a filtering fistula was created with ease with immedi-ate bleb formation. The patients were followed up for 1 to 10 months, median 6.0±3.1 months. The rate of successful control of intraocular pressure with or without medications, estimated by life -table method of Kaplan-Meier, was 50% at 3 months after surgery and 31% at 9 months. Compli-cations developed in 10 eyes, including choroidal detachment, shallow anterior chamber, hyphema and iris incarceration. These complications were mild and self-limited in all but 3 eyes. The possible advantages of this procedure were minimal con-junctival trauma without intraocular manipula-tions and shorter operation time. These features enabled the procedure to be performed on an outpatient basis.


Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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