title: Treatment and prognosis of secondary glaucoma in Fuchs' heterochromic iridocyclitis.
abstract: After reviewing the records of 111 patients with Fuchs' heterochromic iridocyclitis, we studied the therapy and prognosis of secondary glaucoma in 30 of these 111 patients (27%) who had glaucoma or could be considered glaucoma suspects. Maximal medical therapy was unsuccessful in 22 of the 30 patients (73%). Surgical intervention (mostly trabeculectomies, half with 5-fluorouracil) successfully controlled intraocular pressure (< or = 21 mm Hg with or without medication) in 13 of the 18 operated-on patients (72%) after a mean follow-up of 26 months. All successfully operated-on patients retained a visual acuity of 20/80 or better. We had favorable results, possibly because of modern surgical techniques (use of 5-fluorouracil, sodium hyaluronate) or earlier surgical intervention, or both.
authors.affiliation: Netherlands Ophthalmic Research Institute, Amsterdam.
authors.forename: E
authors.initials: E
authors.lastname: La Hey
authors.forename: J
authors.initials: J
authors.lastname: de Vries
authors.forename: C T
authors.initials: CT
authors.lastname: Langerhorst
authors.forename: G S
authors.initials: GS
authors.lastname: Baarsma
authors.forename: A
authors.initials: A
authors.lastname: Kijlstra
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015863:Iridocyclitis / Q000150:complications*; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014130:Trabeculectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome