J Korean Ophthalmol Soc.  1993 Feb;34(2):135-140.

Filtering Surgery in Aphakia and Pseudophakia

• Cho YS
• Kwak NH
• Baek NH

Abstract

Aphakic or pseudophakic glau-oma is known to be at high risk for failure after filtration surgery. The authors retrospectively investigated the results of trabeculectomy in 14 eyes of 14 patients with glaucoma, seven aphakic and seven pseudophakic eyes, which were followed from six months to three years with an average ot 16.5 months. A conventional trabeculectomy without using antifibrotic agents was performed in all the eyes. The site of conjunctival incision was prepared on the virgin area of the conjunctiva; 8 superonasal, 4 inferonasal and 2 inferotemporal approaches. An average postoperative intraocular pressure reduction was 13.4 mmHg. The number of medications decreased in 11 eyes. A spontaneously developed functioning bleb was found in seven eyes. In other four eyes, the filtering bleb was formed with an aid of massage or needling. The remallllllg three eyes did not show a functioning bleb. Postoperative complications included hyphema in 3 eyes, overfiltration in 2 eyes, choroidal detachment in 1 eye, corneal edema in 1 eye and endophthalmitis in 1 eye.

Keyword

Aphakic or pseudophakic glaucoma; Site of filtering bleb; Intraocular pressure reduction

MeSH Terms

Aphakia*
Blister
Choroid
Conjunctiva
Corneal Edema
Endophthalmitis
Filtering Surgery*
Glaucoma
Humans
Hyphema
Intraocular Pressure
Massage
Postoperative Complications
Pseudophakia*
Retrospective Studies
Trabeculectomy