J Korean Ophthalmol Soc.  2003 Apr;44(4):870-875.

Long-term Surgical Outcome of Juvenile Glucoma

• Kim HK
• Lee SH

Abstract

PURPOSE
To report the surgical outcome of juvenile glaucoma who had filtering surgery with Mitomycin C (MMC). METHODS: We have studied 38 patients (42 eyes, respectively) who were diagnosed as primary open angle glaucoma (31 patients), secondary open angle glaucoma (6 patients) and primary angle closure glaucoma (1 patients). The patients have been followed up for 24 months. RESULTS: Of total 42 eyes, 32 eyes had trabeculectomy only and the other 10 eyes had combined trabeculectomy and trabeculotomy. Mean preoperative intraocular pressure (IOP) was 34.4+/-12.0 mmHg, which was dropped to 13.3+/-4.0 mmHg postoperatively. There were statistically significant drop of IOP after filtering operation (P<0.05). However, success rate between group of age 10-25 and group of age 26-40 was not significantly different (90.5%, 76.2%, respectively). CONCLUSIONS: In conclusion, the filtering operation significantly decreases IOP in juvenile glaucoma.

Keyword

Intraocular pressure; Juvenile glaucoma; Trabeculectomy; Trabeculotomy

MeSH Terms

Filtering Surgery
Glaucoma
Glaucoma, Angle-Closure
Glaucoma, Open-Angle
Humans
Intraocular Pressure
Mitomycin
Trabeculectomy
Mitomycin