J Korean Ophthalmol Soc.
1977 Jun;18(2):221-225.
The Clinical Effectiveness of Trabeculectomy in Glaucoma
- Affiliations
-
- 1Department of Ophthalmology, College of Medicine, Kyoung-Buk National University, Taegu, Korea.
- 2Department of Ophthalmology, Korea General Hospital, Seoul, Korea.
Abstract
- Thirty-three trabeculectomies were performed in various types of glaucoma during the periolf of May 1976 to May 1977. Mishima's modified method was applied as a surgical technique following the possible medical treatment controlling the normal I.O.P. before operations: the operations were performed without surgical microscoping in the most cases. Success was achieved in 26 (78.8%) of the 33 cases. Trabeculectomy was very effective in all pur cases of 5 chronic simple glaucoma and 3 chronic narrow angle glaucoma. However, in acute narrow angle glaucoma, we gained the good results in normotensive cases following medical treatment before operation, the results were not good in the cases that I.O.P. was not controlled despite of the vigrous medical treatment. It seemed that trabeculectomy was more advisable operation than goniotomy in long standing congenital glaucoma and in previously failed case with goniotomy. Success was achieved in 5 of 6 congenital glaucoma(4 previously failed with goniotomy and 1 with very severe buphthalmos). It seemed that, in the previously operated eye(e.g. in failed case with other glaucoma surgery or in aphakic glaucoma) the sound lower half was rather preferable to the upper half for operating site.
