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Trabeculectomy with Mitomycin C versus Ahmed Valve Implantation in Pseudophakic Glaucomatous Eyes
Journal of the Korean Ophthalmological Society ; : 293-302, 2008.
Artigo em Coreano | WPRIM | ID: wpr-112562
ABSTRACT

PURPOSE:

To compare the safety and efficacy of trabeculectomy using mitomycin C (MMC) with Ahmed valve implantation in pseudophakic glaucomatous eyes.

METHODS:

We retrospectively reviewed the medical records of 68 pseudophakic glaucoma patients (68 eyes) who had undergone trabeculectomy with MMC (group T, 41 eyes) or Ahmed valve implantation (group A, 27 eyes). Intraocular pressure reduction rates, cumulative probabilities of surgical success, and postoperative complications were compared between two groups. Also, risk factors for surgical failures were analyzed.

RESULTS:

Intraocular pressure levels at postoperative 12 months were significantly lower in group T (13.8+/-5.1 mmHg) than in group A (19.6+/-6.4 mmHg, p=0.001). Cumulative probabilities of surgical success at postoperative 12 months were significantly higher in group T (95.0%) than in group A (66.2%, p=0.000). No significant differences were noted in the occurrences of complications except hyphema in two groups. We found that a younger age (< or =50 years) and Ahmed valve implantation were significant risk factors for surgical failures.

CONCLUSIONS:

Trabeculectomy with MMC can be more effective and preferable as a primary surgical option over Ahmed valve implantation for pseudophakic glaucomatous eyes.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Hifema / Trabeculectomia / Glaucoma / Prontuários Médicos / Estudos Retrospectivos / Fatores de Risco / Mitomicina / Pseudofacia / Olho Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2008 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Hifema / Trabeculectomia / Glaucoma / Prontuários Médicos / Estudos Retrospectivos / Fatores de Risco / Mitomicina / Pseudofacia / Olho Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2008 Tipo de documento: Artigo