ISSN: 1300-0365
Dil: Türkçe
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Short-term Results Of Viscocanalostomy
Üzeyir Günenç*, Zeynep Özbek**, Güray ÇIngIl***
* Doç.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Araş.Gör., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Prof.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, İZMİR
We evaluated 11 eyes of 9 patients with primary open angle (10 eyes) or narrow angle (1 eye) glaucoma who were operated between October 1997 and March 1998 as their intraocular pressures could not have been brought under control despite maximal drug therapy. Average preoperative and postoperative intraocular pressures, surgical success ratios were calculated and the complications were noted.
The group included 6 female and 3 male patients and mean age was 65.2. Six patients were phakic, two pseudophakic and one aphakic (both eyes). One of the pseudophakic patients had experienced combined cataract and glaucoma surgery. All eyes were operated by the same technique. While the average preoperative intraocular pressure was 26.8 mmHg, mean postoperative pressures were 9.8 mmHg the next day, 13.9 mmHg at the first week, 15.6 mmHg at the 3rd month, and 14.3 mm Hg at the 9th month. As for the peroperative complications, microperforations in the Descemet membrane took place in two eyes (18.2%), and postoperative hyphema was seen in one eye (9.09%). Postoperative intraocular pressure was under 20 mmHg without any antiglaucoma medication in 81.8% of the patients.
As there is no entry to the anterior chamber and no peripheric iridectomy, the low incidence of postoperative inflammation , hyphema and shallow anterior chamber, sustained ocular hypotony and success of the early surgical results are the advantages of this new technique. However long term results should be evaluated to decide the success rates in different types of glaucoma.Keywords: Primary open angle glaucoma,
deep sclerectomy, viscocanalostomyTurkiye Klinikleri J Ophthalmol 2000, 9:44-48
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