Surgical Result in Glaucoma Associated with Iridocorneal Endothelial Syndrome.

Lee, Young Ghee; Joo, Kwon Min; Kim, Ho Kyum; Hong, Young Jae

Original Article

Journal of the Korean Ophthalmological Society 1999;40(2):496-504.
Published online February 1, 1999.

Surgical Result in Glaucoma Associated with Iridocorneal Endothelial Syndrome.

Young Ghee Lee, Kwon Min Joo, Ho Kyum Kim, Young Jae Hong

¹The Institue of Vision Research, Yonsei University College of Medicine.
²Department of Ophthalmology, Yonsei University College of Medicine.

홍채각막내피증후군과 연관된 녹내장에서의 수술적 치료 성적 이영기, 주권민, 김호겸, 홍영재

이영기(Young Ghee Lee),주권민(Kwon Min Joo),김호겸(Ho Kyum Kim),홍영재(Young Jae Hong)

Abstract

Iridocorneal endothelial(ICE) syndrome is charaterized by unilateral glaucoma, abnormal corneal endothelium with proliferation, and iris stromal abnormalities. Uncontrolled glaucoma in ICE syndrome has been treated with filtering surgery, but the late failures occurred frequently. The medical records of nine patients with ICE syndrome that underwent glaucoma surgery were retrospectively reviewed. 6 eyes were progressive iris atrophy, and 3 eyes were Cogan-Reese syndrome. The success rates of primary trabeculectomy at 1 and 2 years were 57.1% and 33.3%, respectively. Ahmed glaucoma valve implant oeprations were performed on 6 eyes with failed previous filtering operation. 4 of 6 eyes resulted in controlled IOP until last follow up visit(mean ; 18.8 months). Overall, 1.9 times operations were needed to control IOP. Operations were performed only one time in 4 patients and two times in 3 patients to control IOP.

Key Words: Glaucoma;Iridocorneal endothelial syndrome;Surgical result