NR 2/2002
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Rokowanie w jaskrze młodzieńczej po
trabekulektomii
Prognosis in juvenile glaucoma after trabeculectomy
Bronisława Koraszewska-Matuszewska, Elżbieta Samochowiec-Donocik,
Erita Filipek
Z Katedry i Kliniki Okulistyki Dziecięcej Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Bronisława Koraszewska-Matuszewska |
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| Summary: |
Purpose: to evaluate the efficacy of
trabeculectomy in the patients with juvenile glaucoma in the long-term follow-up.
Material and methods: in 22 of 37 patients - 41 trabeculectomies with
basal iridectomy were performed. The age of children ranged from 6 to 18 years, mean 12,4
years. In one eye of 15-year-old boy we used Mitomycin C during reoperation. The follow-up
period ranged from 2 to 14 years, mean 8 years. Patients were divided into 2 groups
depending on the follow-up: I group (19 eyes) was observed 2-6 years, mean 5,1 years, II
group (18 eyes) 7-14 years, mean 11,1 years. In the I group 57,9% and in the II group 61%
of children were myopic.
Results: intraocular pressure lower or equal to 21 mmHg with no glaucoma
medication was obtained in 79% of eyes in the I group and 66,7% of eyes in the II group.
The difference was not statistically significant. In other eye local application of
B-blockers and dorzolamid decreased intraocular pressure to values safe for the optic
nerve, what was monitored by visual acuity and laser scanning tomography.
Conclusion: Prognosis of juvenile glaucoma patients treated with
trabeculectomy is satisfactory but the effectiveness of this procedure decreases together
with the elongation of the follow-up period. |
| Słowa kluczowe: |
trabekulektomia, jaskra młodzieńcza, ciśnienie wewnątrzgałkowe,
ostrość wzroku, biomorfometria tarczy nerwu wzrokowego. |
| Key words: |
trabeculectomy, juvenile glaucoma, intraocular pressure,
visual acuity, optic nerve disc biomorphometry. |
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