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Results of goniosynechiolysis and analysis by lifetable method Atsuo Tomidokoro 1 , Makoto Araie 1 , Mikirou Mori 1 , Shiroaki Sirato 1 1Dept of Ophtlhalmol, Tokyo Univ pp.745-747
Published Date 1992/5/15
DOI https://doi.org/10.11477/mf.1410908503
  • Abstract
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We performed goniosynechiolysis in 17 eyes of 15 patients with primary angle-closure glaucoma. The intraocular pressure (IOP) in these eyes cound not be controlled by preceding surgeries and maximum medications. The postoperative follow-up ranged from 6 to 23 months, average 13.4 months. The average IOP level decreased by 8mmHg 7 days after surgery and by 3 to 6mmHg 1 to 18 months later. We applied the life-table method in the evalu-ation of surgical results. Eyes were considered assuccessfully treated when following criteria were satisfied: 1) the postoperative IOP decreased by more than 3mmHg and remained below 20mmHg, and 2) the postoperative medications were either equal to or less than the preoperative ones. Life -table analysis showed the probability of surgical success of 68 % at 8 months or later. In all the failure eyes, the IOP became uncontrollable within 8 months after surgery. The decrease in postopera-tive IOP was positively correlated with the periph-eral anterior synechia (PAS) index prior to sur-gery.


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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