[Results of goniotrepanation in chronic simple glaucoma after drug therapy and argon laser trabeculoplasty].
In a retrospective study the effects of goniotrephination following antiglaucoma medication and argon laser trabeculoplasty (ALT) were examined. The study addressed the first treated eye in each of 61 patients. In all patients tropial antiglaucoma medication was continued after ALT. In the period between ALT and goniotrepanation the cup-disc ratio (CDR) progressed significantly (P < 0.01), with worsening of visual field defects. The long-term antiglaucoma medication and the ALT had no effect on the wound healing following the filtering procedure. ALT is contraindicated in preexisting pathologic CDR and visual field defects. In such cases intraocular pressure must be reduced to below 20 mmHg: filtration surgery is effective in lowering the intraocular pressure sufficiently.
Mellin
K B
KB
Universitäts-Augenklinik Essen.
Koch
J
J
D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects / Q000502:physiology; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D014130:Trabeculectomy / Q000379:methods*; D014794:Visual Fields / Q000187:drug effects / Q000502:physiology
D000319:Adrenergic beta-Antagonists
Ergebnisse der Goniotrepanation bei Glaucoma chronicum simplex nach medikamentöser Therapie und Argonlasertrabekuloplastik.