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A case of chronic angle-closure glaucoma treated by nonpenetrating trabeculectomy Harumi Katsushima 1 , Ikuyo Maruyama 2 , Nozomi Yakuwa 2 1Katsushima Eye Clinic 2Dept of Ophthalmol, Sapporo Med Univ pp.187-191
Published Date 2001/2/15
DOI https://doi.org/10.11477/mf.1410907189
  • Abstract
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A 77-year-old male was referred to us for bilateral glaucoma resistant to topical medications. His intraocular pressure (IOP) was 25mmHg in either eye. The IOP rose to 32mmHg in both eyes following mydriasis induced by instillation of 0.5% tropicamide. Following laser iridotomy and laser gonioplasty, the IOP remained at about 24mmHg with topical medication. The depth of the anterior chamber was 1.9mm right and 1.8mm left. Gonioscopy showed plateau iris in both eyes. These findings led to the diagnosis of chronic angle-closure glaucoma.Both eyes then underwent uneventful nonpenetrating trabeculectomy with mitomycin C. The depth of the anterior chamber remained unchanged. The filtering bleb in the left eye had to be modified soon after surgery. Goniopuncture using YAG laser was performed in the right eye 10 months later. One year after the initial surgery, the IOP was 8mmHg right and 14mmHg left without medication.


Copyright © 2001, 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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