Surgical outcomes of trabeculotomy combined with sinusotomy for juvenile glaucoma.

• Abstract: PURPOSE: To evaluate the outcome of trabeculotomy combined with sinusotomy for juvenile glaucoma. METHODS: We studied 16 patients (25 eyes) (age range, 11-50 years) with juvenile glaucoma for a minimum follow-up period of 1 year. We performed combined trabeculotomy and sinusotomy surgery in 13 juvenile glaucoma patients (18 eyes), and trabeculotomy alone in 6 patients (7 eyes). RESULTS: The intraocular pressure (IOP) of the combined surgery group was 29.8 +/- 7.8 mm Hg before surgery and 15.6 +/- 3.0 mm Hg 1 year after surgery. The IOP of the trabeculotomy-alone group was 29.1 +/- 6.4 mm Hg before surgery and 15.4 +/- 2.4 mm Hg 1 year after surgery. A postoperative IOP spike that was higher than the preoperative IOP was recorded in 2 eyes of the combined surgery group and in 2 eyes of the trabeculotomy group. The combined surgery group consisted of 7 eyes with a previously failed glaucoma surgery, and 11 eyes having a first glaucoma surgery. The postoperative IOP in these 11 eyes was 15.5 +/- 2.8 mm Hg. CONCLUSION: Trabeculotomy is very effective in lowering the IOP in patients with juvenile glaucoma. Sinusotomy does not play an important role in tension control.
• Authors: T Kubota, Y Takada, H Inomata (Affiliation: Department of Ophthalmology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.)
• Journal: Japanese journal of ophthalmology (Jpn J Ophthalmol) 2001 Sep-Oct Vol. 45 Issue 5 Pg. 499-502 ISSN: 0021-5155 [Print] United States
• PMID: 11583673 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Anterior Eye Segment (abnormalities, surgery)
• Child
• Glaucoma (surgery)
• Humans
• Intraocular Pressure
• Middle Aged
• Surgical Flaps
• Trabeculectomy (methods)
• Treatment Outcome