Long-Term Intraocular Pressure Control of Trabeculectomy and Triple Procedure in Primary Open Angle Glaucoma and Chronic Primary Angle Closure Glaucoma

Vol. 221, No. 6, 2007

Free Abstract Article (Fulltext) Article (PDF 180 KB)

Original Paper

Long-Term Intraocular Pressure Control of Trabeculectomy and Triple Procedure in Primary Open Angle Glaucoma and Chronic Primary Angle Closure Glaucoma
Samin Hong^a, Kyoungsoo Park^a, Seung Joo Ha^b, Ho Yeop Yeom^c, Gong Je Seong^a, Young Jae Hong^a

^aDepartment of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine,
^bDepartment of Ophthalmology, Soonchunhyang University College of Medicine, and
^cSiloam Eye Hospital, Seoul, South Korea

Address of Corresponding Author

Ophthalmologica 2007;221:395-401 (DOI: 10.1159/000107499)

Key Words

Glaucoma
Trabeculectomy
Triple procedure
Intraocular pressure

Abstract

To evaluate the long-term intraocular pressure (IOP) control of trabeculectomy and triple procedure (cataract extraction by phacoemulsification, intraocular lens implantation and trabeculectomy), 1,542 eyes of 900 patients with primary open angle glaucoma (POAG) or chronic primary angle closure glaucoma (CPACG) were included. When success was defined as an IOP reduction of at least 30% from baseline, with or without antiglaucoma medications, the overall probability of success of trabeculectomy and triple procedure was 0.613 and 0.733 at 15 years, respectively. The success probability of trabeculectomy and triple procedure in reducing IOP below 18 mm Hg was 0.748 and 0.825 at 15 years, respectively. In POAG and CPACG patients, trabeculectomy and triple procedure were effective in reducing IOP for up to 15 years after surgery.

Author Contacts

Young Jae Hong, MD, PhD
Institute of Vision Research, Department of Ophthalmology
Severance Hospital, Yonsei University College of Medicine
134 Shinchon-dong, Seodaemun-gu, Seoul 120-752 (South Korea)
Tel. +82 2 2228 3570, Fax +82 2 312 0541, E-Mail yjhong0815@yumc.yonsei.ac.kr

Article Information

This paper was presented at the American Academy of Ophthalmology Annual Meeting in October, 2005.

Received: October 13, 2006
Accepted after revision: December 4, 2006
Number of Print Pages : 7
Number of Figures : 2, Number of Tables : 5, Number of References : 47

Medline Abstract (ID 17947826)

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