Uveitic glaucoma treated by trabeculectomy alone or combined with cataract surgery Takanori Mizoguchi 1 , Miyo Matsumura 1 , Makoto Nagata 1 1Nagata Eye Clinic pp.503-507
Published Date 1998/4/15
DOI https://doi.org/10.11477/mf.1410905793
  • Abstract
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We reviewed the surgical outcome of 58 eyes of secondary open angle glaucoma due to uveitis. Trabeculectomy with intraoperative mitomycin C was performed in 33 eyes. The other 25 eyes underwent simultaneous surgery for cataract by phacoemulsification and intraocular lens implantation, or triple procedure. After the follow-up for 6 months or longer, there was no difference between the two groups regarding control of intraocular pressure (I0P) below 20 mmHg. TOP control below 14 mmHg was attained in 63% after trabeculectomy alone and in 24% after triple procedure. The survival rate of filtering bleb was 81% in the former group and 50% in the latter. The difference was significant. Visual acuity improved or remained within one line in 58% of eyes after trabeculectomy alone and in 77% after triple procedure. The findings show that the triple procedure is effective for selected cases of uveitic glaucoma with cataract.

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