A three-year review on the timing and procedure of glaucoma surgery Yoshinori Dake 1 , Toyomi Azuma 1 , Tsugio Amemiya 1 1Dept of Ophthalmol, Nagasaki Univ Sch of Med pp.791-794
Published Date 1996/5/15
DOI https://doi.org/10.11477/mf.1410904867
  • Abstract
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We reviewed 151 eyes operated for glaucoma during the foregoing 28 months. Advanced visual field defect was already present in 68% of the eyes and in 80% of patients under 30 years of age. The surgical procedures included trabeculotomy, trabeculectomy, goniosynechiolysis and cyclocryocoagulation. Reduc-tion of intraocular pressure to 14 mmHg or less was obtained in 30% after trabeculotomy and in 50% after trabeculectomy. Trabeculotomy was siginificantly more effective for capsular glaucoma than primary open angle glaucoma. There was no difference in the effect of trabeculectomy among different types of glaucoma. There was no difference in the hypotensive effect whether glaucoma surgery was performed alone or combined with cataract surgery. Postoperative deterioration in visual field developed in 8 eyes, 7 of which advanced visual field defect was already present at the time of surgery. These findings show the importance of early treatment for glaucoma.

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