Non-penetrating trabeculectomy for open angle glaucoma

M. P. Shyong, J. C.K. Chou, C. J.L. Liu, M. J. Chen, S. H. Chiou, Wen-Ming Hsu, J. H. Liu

Research output: Contribution to journalArticle

Abstract

Background. Non-penetrating trabeculectomy is used as the surgical intervention for open angle glaucoma. It has advantage of creating gradual filtration through the thin trabeculo-Descemet membrane to reduce markedly the postoperative complications typical for penetrating operation. We described our experience of the non-penetrating trabeculectomy for open angle glaucoma. Methods. This is a retrospective study of 28 eyes of 28 patients with primary open glaucoma (POAG). Non-penetrating trabeculectomy was performed by one surgeon from July 1998 to March 2000. Examinations were performed preoperatively and postoperatively in 1 and 7 days and 1, 3, 6, 12 and 21 months. Results. The mean follow-up was 12.5 ± 6.3 months (S.D.). The mean preoperative intraocular pressure (IOP) was 27.8 ± 6.7 mmHg. The mean postoperative IOP was 11.5 ± 6.2 mmHg in 1 day and 15.7 ± 5.8 mmHg in 1 week, and it remained stable in the following 12 months. IOP of 71.3% (20/28) of the eyes could be controlled below or equal to 21 mmHg with no or only topical antiglaucoma medication. There were only few postoperative complications. Conclusions. Non-penetrating trabeculectomy is efficient in controlling intraocular pressure of open angle glaucoma. No entering the anterior chamber diminishes the postoperative complications typical of the penetrating trabeculectomy.

Original languageEnglish
Pages (from-to)408-413
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume64
Issue number7
Publication statusPublished - Oct 10 2001
Externally publishedYes

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Trabeculectomy
Open Angle Glaucoma
Intraocular Pressure
Descemet Membrane
Anterior Chamber
Glaucoma
Retrospective Studies

Keywords

  • Non-penetrating
  • Open angle glaucoma
  • Trabeculectomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shyong, M. P., Chou, J. C. K., Liu, C. J. L., Chen, M. J., Chiou, S. H., Hsu, W-M., & Liu, J. H. (2001). Non-penetrating trabeculectomy for open angle glaucoma. Chinese Medical Journal (Taipei), 64(7), 408-413.

Non-penetrating trabeculectomy for open angle glaucoma. / Shyong, M. P.; Chou, J. C.K.; Liu, C. J.L.; Chen, M. J.; Chiou, S. H.; Hsu, Wen-Ming; Liu, J. H.

In: Chinese Medical Journal (Taipei), Vol. 64, No. 7, 10.10.2001, p. 408-413.

Research output: Contribution to journalArticle

Shyong, MP, Chou, JCK, Liu, CJL, Chen, MJ, Chiou, SH, Hsu, W-M & Liu, JH 2001, 'Non-penetrating trabeculectomy for open angle glaucoma', Chinese Medical Journal (Taipei), vol. 64, no. 7, pp. 408-413.
Shyong MP, Chou JCK, Liu CJL, Chen MJ, Chiou SH, Hsu W-M et al. Non-penetrating trabeculectomy for open angle glaucoma. Chinese Medical Journal (Taipei). 2001 Oct 10;64(7):408-413.
Shyong, M. P. ; Chou, J. C.K. ; Liu, C. J.L. ; Chen, M. J. ; Chiou, S. H. ; Hsu, Wen-Ming ; Liu, J. H. / Non-penetrating trabeculectomy for open angle glaucoma. In: Chinese Medical Journal (Taipei). 2001 ; Vol. 64, No. 7. pp. 408-413.
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AB - Background. Non-penetrating trabeculectomy is used as the surgical intervention for open angle glaucoma. It has advantage of creating gradual filtration through the thin trabeculo-Descemet membrane to reduce markedly the postoperative complications typical for penetrating operation. We described our experience of the non-penetrating trabeculectomy for open angle glaucoma. Methods. This is a retrospective study of 28 eyes of 28 patients with primary open glaucoma (POAG). Non-penetrating trabeculectomy was performed by one surgeon from July 1998 to March 2000. Examinations were performed preoperatively and postoperatively in 1 and 7 days and 1, 3, 6, 12 and 21 months. Results. The mean follow-up was 12.5 ± 6.3 months (S.D.). The mean preoperative intraocular pressure (IOP) was 27.8 ± 6.7 mmHg. The mean postoperative IOP was 11.5 ± 6.2 mmHg in 1 day and 15.7 ± 5.8 mmHg in 1 week, and it remained stable in the following 12 months. IOP of 71.3% (20/28) of the eyes could be controlled below or equal to 21 mmHg with no or only topical antiglaucoma medication. There were only few postoperative complications. Conclusions. Non-penetrating trabeculectomy is efficient in controlling intraocular pressure of open angle glaucoma. No entering the anterior chamber diminishes the postoperative complications typical of the penetrating trabeculectomy.

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