Viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma
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    Abstract:

    AIM: To evaluate the long-term outcome of viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma. METHODS: This is a retrospective study. Forty-two eyes of 26 patients with primary congenital glaucoma were enrolled. Intraocular pressure (IOP), corneal diameter (mm) and cup/disc (C/D) were measured before and after the surgery respectively. Follow-up period was 30mo. RESULTS: The mean preoperative IOP was 30.6±7.35 mm Hg. Of the 42 eyes, 2 eyes were required conversion to trabeculectomy for the absence of Schlemm’s canal. Of remained 40 eyes, 38 eyes (95%) achieved successful IOP control. The average postoperative IOP was 11.69±4.18 mm Hg at 12mo. The mean reduction was 18.91 mm Hg (P<0.0001). Eighteen (75%) eyes presented a reduction in corneal diameter, and 25 (62.5%) eyes presented a C/D ratio reversal after the surgery. There was no serious complication in any patients over the follow-up period. CONCLUSION: Viscocanalostomy combined with trabeculotomy and mitomycin C is useful in the management of primary congenital glaucoma.

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Chao-Xu Qian, Yuan Zong, Qin Chen, et al. Viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma. Int J Ophthalmol, 2017,10(6):919-924

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Publication History
  • Received:October 10,2016
  • Revised:July 06,2017
  • Adopted:
  • Online: June 14,2017
  • Published: