Viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma  

作　　者：Chao-Xu Qian Yuan Zong Qin Chen Zhi-Lan Yuan Chao-Xu Qian;Yuan Zong;Qin Chen;Zhi-Lan Yuan(Department of Ophthalmology,the Third People’s Hospital of Changzhou;Department of Ophthalmology,Eye,Ear,Nose & Throat Hospital of Fudan University;Department of Ophthalmology,the First Affiliated Hospital of Nanjing Medical University)

机构地区：[1]Department of Ophthalmology, the Third People＇s Hospital of Changzhou, Changzhou 213001, Jiangsu Province, China [2]Department of Ophthalmology, Eye, Ear, Nose ＆ Throat Hospital of Fudan University, Shanghai 200031, China [3]Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China

出　　处：《International Journal of Ophthalmology(English edition)》2017年第6期919-924,共6页国际眼科杂志（英文版）

摘　　要：AIM： To evaluate the long-term outcome of viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma. METHODS： This is a retrospective study. Forty-two eyes of 26 patients with primary congenital glaucoma were enrolled, Intraocular pressure （lOP）, corneal diameter （mm） and cup/disc （C/D） were measured before and after the surgery respectively. Follow-up period was 30mo. RESULTS： The mean preoperative lOP was 30.6：1：7.35 mm Hg. Of the 42 eyes, 2 eyes were required conversion to trabeculectomy for the absence of Schlemm＇s canal. Of remained 40 eyes, 38 eyes （95%） achieved successful lOP control. The average postoperative lOP was 11.69±4.18 mm Hg at 12mo. The mean reduction was 18.91 mm Hg （P〈0.00Ol）. Eighteen （75%） eyes presented a reduction in corneal diameter, and 25 （62.5%） eyes presented a C/D ratio reversal after the surgery. There was no serious complication in any patients over the follow-up period. CONCLUSION： Viscocanalostomy combined with trabeculotomy and mitomycin C is useful in the management of primary congenital glaucoma,AIM： To evaluate the long-term outcome of viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma. METHODS： This is a retrospective study. Forty-two eyes of 26 patients with primary congenital glaucoma were enrolled, Intraocular pressure （lOP）, corneal diameter （mm） and cup/disc （C/D） were measured before and after the surgery respectively. Follow-up period was 30mo. RESULTS： The mean preoperative lOP was 30.6：1：7.35 mm Hg. Of the 42 eyes, 2 eyes were required conversion to trabeculectomy for the absence of Schlemm＇s canal. Of remained 40 eyes, 38 eyes （95%） achieved successful lOP control. The average postoperative lOP was 11.69±4.18 mm Hg at 12mo. The mean reduction was 18.91 mm Hg （P〈0.00Ol）. Eighteen （75%） eyes presented a reduction in corneal diameter, and 25 （62.5%） eyes presented a C/D ratio reversal after the surgery. There was no serious complication in any patients over the follow-up period. CONCLUSION： Viscocanalostomy combined with trabeculotomy and mitomycin C is useful in the management of primary congenital glaucoma,

关 键 词：GLAUCOMA treatment surgery INTRAOCULARPRESSURE congenital eye disorders 

分 类 号：R779.6[医药卫生—眼科]