Long-term Surgical Outcomes of 180-Degree Suture Trabeculotomy in Korean Patients With Primary Congenital Glaucoma
- Authors
- Park, Ji-Hye; Yoo, Chungkwon; Yoo, Eunjoo; Kim, Yong Yeon
- Issue Date
- 7월-2016
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- suture trabeculotomy; primary congenital glaucoma; intraocular pressure; goniotomy; trabeculotomy
- Citation
- JOURNAL OF GLAUCOMA, v.25, no.7, pp.E681 - E685
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF GLAUCOMA
- Volume
- 25
- Number
- 7
- Start Page
- E681
- End Page
- E685
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/88128
- DOI
- 10.1097/IJG.0000000000000337
- ISSN
- 1057-0829
- Abstract
- Purpose: To investigate the surgical outcomes of 180-degree suture trabeculotomy in Korean patients with primary congenital glaucoma (PCG). Patients and Methods: This retrospective study included 21 eyes of 17 children with PCG who underwent 180-degree suture trabeculotomy as a first surgical procedure. Surgical success was defined as (1) an intraocular pressure (IOP) < 22mm Hg with or without medication; (2) no additional intraocular surgery; and (3) no evidence of progressive optic disc cupping. The main outcome measure was the success rate of 180-degree suture trabeculotomy. Secondary outcome measures were IOP, number of glaucoma medications, and occurrence of complications. Results: Of the 21 eyes included, 18 (85.7%) were classified as having achieved success at the final visit (mean last follow-up or failure time, 54.91 +/- 45.68 mo). Median age at surgery was 11.97 months with mean IOP 29.8 +/- 9.6 mm Hg, on average of 1.52 medications. The mean IOP at the final visit was 16.9 +/- 5.6 mm Hg on an average of 0.38 medications. The surgical success rate of 180-degree suture trabeculotomy at 1, 3, and 5 years was 95.0%, 87.7%, and 78.9%, respectively (Kaplan-Meier analysis). Three eyes underwent second operations and the mean time to failure was 29.39 +/- 19.75 months. Hyphema was observed in 10 eyes, but it cleared up within 7.6 days. Conclusion: The 180-degree suture trabeculotomy performed for PCG had a significant IOP-lowering effect and caused no remarkable complications.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.