약물로 반응하지 않아 섬유주절제술을 시행한 급성 폐쇄각녹내장 환자의 수술성공률 분석

• 영문명: Trabeculectomy for Medically Uncontrolled Acute Primary Angle-Closure Glaucoma
• 발행기관: 대한안과학회
• 저자명: 장문희 유정권 김용연,Mun Hee Chang, MD, Chung Kwon Yoo, MD, PhD, Yong Yeon Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number8, 1242~1246쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.08.15

영문 초록

Purpose: To evaluate the outcomes of trabeculectomy performed on eyes with medically uncontrolled acute angle closure glaucoma (AACG). Methods: The authors reviewed 31 eyes of 30 acute primary angle-closure glaucoma patients who had undergone trabeculectomy. The eyes were divided into two groups: eyes which did not respond to medical and/or laser treatment (Group A, 16 eyes) and those which initially responded to medical and/or laser treatment and later had an intraocular pressure (IOP) increase (Group B, 15 eyes). Complete success was defined as a final IOP below 21 mmHg without medication, and qualified success was defined as a final IOP below 21 mmHg with medication. Patients whose postoperative IOP was 22 mmHg or greater on at least two serial measurements or who required additional glaucoma surgery were classified as failures. Results: The mean follow-up was 43.1±32.3 months. The five-year qualified success rate was 56.3% in Group A and 100% in Group B (log-rank test, p=0.02). The preoperative IOP was significantly higher in Group A (38.0±11.5 mmHg) than in Group B (21.8±12.2 mmHg) (p <0.01). Factors found not to be significant included age, gender, peripheral anterior synechiae, a glaucomatous optic disc, and visual field damage. The postoperative complications were similar between the two groups (p >0.05). Conclusions: The medically uncontrolled AACG appears to have an adverse effect on the outcome of trabeculectomy. Success of trabeculectomy in AACG seems to be inversely related with elevated preoperative intraocular pressure.

키워드

Acute angle closure glaucoma, Medically uncontrolled, Trabeculectomy