Primary Trabeculectomy with Mitomycin C for Medically Uncontrolled Angle Closure Glaucoma.

Yoon, Jin Sook; Kim, Chan Yoon; Hong, Young Jae

Original Article

Journal of the Korean Ophthalmological Society 2004;45(5):783-789.
Published online May 1, 2004.

Primary Trabeculectomy with Mitomycin C for Medically Uncontrolled Angle Closure Glaucoma.

Jin Sook Yoon, Chan Yoon Kim, Young Jae Hong

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. yjhong0815@yumc.yonsei.ac.kr

약물치료로 조절되지 않는 폐쇄각녹내장에서 마이토마이신을 사용한 일차 섬유주절제술의 술후 성적

윤진숙 ( Yun Jin Sug ) , 김찬윤 ( Kim Chan Yun ) , 홍영재 ( Hong Yeong Jae )

Abstract

PURPOSE
To report the results of primary trabeculectomy with mitomycinmitomycin C (MMC) for medically uncontrolled, primary angle-closure glaucoma. METHODS: A retrospective study of 20 eyes from 18 consecutive patients with medically uncontrolled primary angle-closure glaucoma who underwent trabeculectomy with MMC, from 1997 to 2000. RESULTS: The mean follow up was 33.9 +/- 12.9 months (range 24~60). After trabeculectomy with MMC, IOP remained below 22 mmHg in 17 eyes (85%) with or without medication. Postoperative complications occurred in 5 eyes (25%). CONCLUSIONS: Trabeculectomy with MMC resulted in favorable long-term IOP control and relatively low complications in medically unresponsive acute angle-closure glaucoma.

Key Words: Angle-closure glaucoma;Complication;Intraocular pressure;Mitomycin C;Trabeculectomy