Filtering Surgery in Aphakia and Pseudophakia.

Cho, Youn Seong; Kwak, No Hoon; Baek, Nam Ho

Original Article

Journal of the Korean Ophthalmological Society 1993;34(2):135-140.
Published online February 1, 1993.

Filtering Surgery in Aphakia and Pseudophakia.

Youn Seong Cho, No Hoon Kwak, Nam Ho Baek

¹Department of Ophthalmology, Capital Armed Forces General Hospital, Korea.
²Department of Ophthalmology, Catholic University Medical College, Korea.

무 ( 위 ) 수정체안에서의 녹내장 누공수술

백남호(Nam Ho Baek),곽노훈(No Hoon Kwak),조윤성(Youn Seong Cho)

Abstract

Aphakic or pseudophakic glau-oma is known to be at high risk for failure after filtration surgery. The authors retrospectively investigated the results of trabeculectomy in 14 eyes of 14 patients with glaucoma, seven aphakic and seven pseudophakic eyes, which were followed from six months to three years with an average ot 16.5 months. A conventional trabeculectomy without using antifibrotic agents was performed in all the eyes. The site of conjunctival incision was prepared on the virgin area of the conjunctiva; 8 superonasal, 4 inferonasal and 2 inferotemporal approaches. An average postoperative intraocular pressure reduction was 13.4 mmHg. The number of medications decreased in 11 eyes. A spontaneously developed functioning bleb was found in seven eyes. In other four eyes, the filtering bleb was formed with an aid of massage or needling. The remallllllg three eyes did not show a functioning bleb. Postoperative complications included hyphema in 3 eyes, overfiltration in 2 eyes, choroidal detachment in 1 eye, corneal edema in 1 eye and endophthalmitis in 1 eye.

Key Words: Aphakic or pseudophakic glaucoma;Site of filtering bleb;Intraocular pressure reduction