title: Trabeculectomy in the management of glaucomatocyclitic crisis with visual field defect.
abstract: OBJECTIVE
  To investigate the effect of trabeculectomy in the management of glaucomatocyclitic crisis with uncontrolled intraocular pressures (IOPs) and visual field defects.
  
  
  METHODS
  Trabeculectomy was performed in 8 patients (2 males and 6 females) who had unilateral glaucomatocyclitic crisis with uncontrolled intraocular pressure (IOP) and visual field defects. After the surgeries the patients were followed up for 30.00 +/- 17.24 (mean +/- SD, the same below) months with best-corrected visual acuity (BCVA) and IOP measurements, keratic precipitates (KP), bleb and anterior chamber exams, and visual field tests.
  
  
  RESULTS
  Preoperative IOP of these patients was 50.13 +/- 4.58 mmHg. By the end of follow-up, IOP in all patients was reduced to normal level (14.63 +/- 2.33 mmHg) without any anti-glaucoma medications. Three patients had type I blebs, and 5 patients had type II blebs. Six patients had no recurrent attacks during the entire follow-up period, while recurrent anterior uveitis was observed in the other 2 patients (2 and 3 times, respectively). No visual acuity loss or further visual field loss was found in any of these patients at the end of follow-up.
  
  
  CONCLUSIONS
  Trabeculectomy is a safe and effective method for the management of glaucomatocyclitic crisis with uncontrolled IOPs and visual field defects.
authors.affiliation: Department of Ophthalmology, Ruijin Hospital Affiliated Medical School, Shanghai Jiaotong University, Shanghai, China. yszhong68@yahoo.com.cn
authors.forename: Yisheng
authors.initials: Y
authors.lastname: Zhong
authors.forename: Yu
authors.initials: Y
authors.lastname: Cheng
authors.forename: Xiaohong
authors.initials: X
authors.lastname: Liu
authors.forename: Peili
authors.initials: P
authors.lastname: Feng
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012607:Scotoma / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity; D014794:Visual Fields