Long-term Follow-up Results of Glaucoma Triple Procedures in Patients with Angle-closure Glaucoma.

Lim, Dae Won; Choi, Hwan Joon; Yang, Kun Jin

Original Article

Journal of the Korean Ophthalmological Society 2004;45(7):1106-1114.
Published online July 1, 2004.

Long-term Follow-up Results of Glaucoma Triple Procedures in Patients with Angle-closure Glaucoma.

Dae Won Lim, Hwan Joon Choi, Kun Jin Yang

¹Department of Ophthalmology Chonnam University Medical School and Hospital Gwangju, Korea.
²Best Eye Clinic Gwangju, Korea. kjyang@besteyedoctor.co.kr

폐쇄각녹내장 환자에서 녹내장 삼중수술의 장기적 효과

임대원 ( Dae Won Lim ) , 최환준 ( Hwan Joon Choi ) , 양건진 ( Kun Jin Yang )

Abstract

PURPOSE
To evaluate the long-term clinical efficacy for glaucoma triple procedures of angle-closure glaucoma. METHODS: The author reviewed retrospectively 30 eyes (Group A) which had undergone triple procedures for coexisting angle-closure glaucoma and cataract. The results were compared with those of 30 eyes (Group B) which had undergone trabeculectomy for angle-closure glaucoma and 25 eyes (Group C) which had undergone glaucoma triple procedures for open-angle glaucoma. All patients were followed up for more than 3 years after operation at the Department of Ophthalmology in a hospital from November 1990 to December 1999. RESULTS: The mean intraocular pressures at the last follow-up were 16.1mmHg, 20.9mmHg and 19.7mmHg and the surgical success rates were 83.3%, 63.3% and 68.0% in the triple procedure group of angle-closure glaucoma, trabeculectomy-alone group and triple procedure group of open-angle glaucoma respectively. CONCLUSIONS: Triple procedures in angle-closure glaucoma showed good long-term results in IOP control compared with the trabeculectomy-alone group in angle-closure glaucoma.

Key Words: Angle-closure glaucoma;Cataract;Glaucoma triple procedures;Open-angle glaucoma;Trabeculectomy