J Korean Ophthalmol Soc.  2015 Jul;56(7):1075-1080. 10.3341/jkos.2015.56.7.1075.

Treatment Outcome of Triple Procedure in Open-Angle Glaucoma and Angle-Closure Glaucoma

• Kwon KY
• Bae HW
• Lee SY
• Seo SJ
• Lee YH
• Hong SM
• Seong GJ
• Kim CY

• KMID: 2148808
• DOI: http://doi.org/10.3341/jkos.2015.56.7.1075

Abstract

PURPOSE
To compare the surgical outcomes of triple procedure in patients with open-angle glaucoma and angle-closure glaucoma.
METHODS
The patients who underwent triple procedures for open-angle glaucoma and angle-closure glaucoma and were followed up for more than 1 year postoperatively were retrospectively reviewed. Preoperative and postoperative visual acuity, intraocular pressure (IOP), visual field mean deviation, refractive error, number of medications, and complications were analyzed. The effect of surgery on IOP reduction and refractive error correction was compared.
RESULTS
The IOP at 1 year postoperatively was 13.39 +/- 2.25 mm Hg, 13.41 +/- 2.79 mm Hg (p = 0.981) and IOP reduction was 4.51 +/- 6.35 mm Hg, 9.11 +/- 8.27 mm Hg (p = 0.042) in the open angle glaucoma group and angle closure glaucoma group, respectively. No patient in either group required reoperation due to uncontrolled IOP. The percentage of patients showing postoperative IOP reduction of at least 10% and 20% from baseline IOP was statistically higher in the angle-closure glaucoma group than in the open-angle glaucoma group. Prediction errors were -0.84 +/- 0.88 D and -0.13 +/- 0.65 D in the open-angle glaucoma group and angle-closure glaucoma group, respectively.
CONCLUSIONS
Triple procedure was effective in reducing IOP in both open-angle glaucoma and angle-closure glaucoma patients. The patients with angle-closure glaucoma showed better results in IOP control and refractive error correction compared with patients with angle-closure glaucoma.

Keyword

Angle-closure glaucoma; Open-angle glaucoma; Triple procedure

MeSH Terms

Glaucoma, Angle-Closure*
Glaucoma, Open-Angle*
Humans
Intraocular Pressure
Refractive Errors
Reoperation
Retrospective Studies
Treatment Outcome*
Visual Acuity
Visual Fields

Figure

• 

  Figure 1. The changes of IOP after triple procedure are shown at each time point. (A) OAG group. (B) AGC group. IOP = intra-ocular pressure; OAG = open angle glaucoma; ACG = angle closure glaucoma.

Reference

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