Journal of the Korean Ophthalmological Society 1993;34(12):1293-1299.
Published online December 1, 1993.
Treatment of Neovaseular Glaucoma Using Modified Schocket Implant.
Jin Woo Kim, Kyoung Hwa Lee
Hallym Medical Center, Korea.
신생혈관성 녹내장 환자에서 Schocket Implant 변형을 이용한 치료
김진우(Jin Woo Kim),이경화(Kyoung Hwa Lee)
Abstract
Seven eyes of 7 patients had undergone modified Schocketimplant surgery for neovascular glaucoma. The mean preoperative intraocular pressure(IOP) was 49.1 +/- 10.1 mmHg(range 38 to 70 mmHg). With a follow up of 6 to 18 monnths, the mean postoperative IOP was 20.3+/-5.1 mmHg(range 16 to 30 mmHg). The author's personal method to make two oblique valve incisions on the obliterated distal end of the draining silicone tube, prevented early postoperative complications(flat anterior chamber and hypo-tony). The one oblique incision on silicone tube turned into a open valve at a pressure between 17.3 and 21.6 mmHg(average 19.3 mmHg) and two oblique incisions opened at a oblique incisions seemed to be more available for pressure sensitive valve. The complications included minimal hyphema(4 eyes) and progression of cataract(1 eye). Modified Schocket implant are an effective and simple technique in the management of neovascular glaucoma.
Key Words: Flat anterior chamber;Intraocular pressure;Modified Schoket implant;Neovascular glaucoma;Pressure sensitive valve


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