Long-term Surgical Outcome of Juvenile Glucoma.

Kim, Hyun Kyu; Lee, Sang Hyup

Original Article

Journal of the Korean Ophthalmological Society 2003;44(4):870-875.
Published online April 1, 2003.

Long-term Surgical Outcome of Juvenile Glucoma.

Hyun Kyu Kim, Sang Hyup Lee

Department of Ophthalmology, Pusan National University, College of Medicine, Pusan, Korea. leeshpc@hyowon.pusan.ac.kr

연소녹내장환자의 술후 장기예후

김현규 ( Hyun Kyu Kim ) , 이상협 ( Sang Hyup Lee )

Abstract

PURPOSE
To report the surgical outcome of juvenile glaucoma who had filtering surgery with Mitomycin C (MMC). METHODS: We have studied 38 patients (42 eyes, respectively) who were diagnosed as primary open angle glaucoma (31 patients), secondary open angle glaucoma (6 patients) and primary angle closure glaucoma (1 patients). The patients have been followed up for 24 months. RESULTS: Of total 42 eyes, 32 eyes had trabeculectomy only and the other 10 eyes had combined trabeculectomy and trabeculotomy. Mean preoperative intraocular pressure (IOP) was 34.4+/-12.0 mmHg, which was dropped to 13.3+/-4.0 mmHg postoperatively. There were statistically significant drop of IOP after filtering operation (P<0.05). However, success rate between group of age 10-25 and group of age 26-40 was not significantly different (90.5%, 76.2%, respectively). CONCLUSIONS: In conclusion, the filtering operation significantly decreases IOP in juvenile glaucoma.

Key Words: Intraocular pressure;Juvenile glaucoma;Trabeculectomy;Trabeculotomy