Treatment Outcome of Triple Procedure in Open-Angle Glaucoma and Angle-Closure Glaucoma.

Kwon, Kye Yoon; Bae, Hyung Won; Lee, Sang Yeop; Seo, Sang Jin; Lee, Yun Ha; Hong, Sa Min; Seong, Gong Je; Kim, Chan Yun

doi:2015.56.7.1075

J Korean Ophthalmol Soc > Volume 56(7); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(7):1075-1080.
DOI: https://doi.org/10.3341/jkos.2015.56.7.1075 Published online July 15, 2015.

Treatment Outcome of Triple Procedure in Open-Angle Glaucoma and Angle-Closure Glaucoma.

Kye Yoon Kwon, Hyung Won Bae, Sang Yeop Lee, Sang Jin Seo, Yun Ha Lee, Sa Min Hong, Gong Je Seong, Chan Yun Kim

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yuhs.ac

개방각 녹내장 환자와 폐쇄각 녹내장 환자에서 녹내장 삼중수술의 효과

권계윤⋅배형원⋅이상엽⋅서상진⋅이윤하⋅홍사민⋅성공제⋅김찬윤

연세대학교 의과대학 안과학교실 시기능개발연구소

Received: 21 November 2014 • Revised: 20 January 2015 • Accepted: 26 May 2015

Abstract

PURPOSE
To compare the surgical outcomes of triple procedure in patients with open-angle glaucoma and angle-closure glaucoma. METHODS: The patients who underwent triple procedures for open-angle glaucoma and angle-closure glaucoma and were followed up for more than 1 year postoperatively were retrospectively reviewed. Preoperative and postoperative visual acuity, intraocular pressure (IOP), visual field mean deviation, refractive error, number of medications, and complications were analyzed. The effect of surgery on IOP reduction and refractive error correction was compared. RESULTS: The IOP at 1 year postoperatively was 13.39 +/- 2.25 mm Hg, 13.41 +/- 2.79 mm Hg (p = 0.981) and IOP reduction was 4.51 +/- 6.35 mm Hg, 9.11 +/- 8.27 mm Hg (p = 0.042) in the open angle glaucoma group and angle closure glaucoma group, respectively. No patient in either group required reoperation due to uncontrolled IOP. The percentage of patients showing postoperative IOP reduction of at least 10% and 20% from baseline IOP was statistically higher in the angle-closure glaucoma group than in the open-angle glaucoma group. Prediction errors were -0.84 +/- 0.88 D and -0.13 +/- 0.65 D in the open-angle glaucoma group and angle-closure glaucoma group, respectively. CONCLUSIONS: Triple procedure was effective in reducing IOP in both open-angle glaucoma and angle-closure glaucoma patients. The patients with angle-closure glaucoma showed better results in IOP control and refractive error correction compared with patients with angle-closure glaucoma.

Key Words: Angle-closure glaucoma;Open-angle glaucoma;Triple procedure