ĐÁNH GIÁ HIỆU QUẢ PHẪU THUẬT MỞ GÓC TIỀN PHÒNG KÈM RỬA GÓC TIỀN PHÒNG TRONG GLÔCÔM GÓC MỞ THỨ PHÁT DO CORTICOID

Abstract

Introduction: To assess the effects of goniotomy and goniowash on intraocular pressure, glaucoma medication in patients with corticoid glaucoma. Methods: A retrospective, interventional case series on 20 eyes of 12 patients. Outcomes included mean IOP reduction, reduction in IOP-lowering medications and complications at 1 week, 1 month, 3 months and 6 months were included. Results: After 6 months of follow up, mean postoperative intraocular pressure was 15.83±1.49 mmHg and significantly lower compared with preoperative intraocular pressure was 33.57 ± 5.51 mmHg (p < 0.001). Intraocular pressure was less than 18 mmHg in boths 20 eyes (100%) with the number of medication decrease from 3.20 ± 0.52 preoperative to 2.8 ± 0.41 postoperative. There were 3 patients had hyphema after surgery and this complications improved in 1 week. Conclusion: Combined goniotomy and goniowash reduces intraocular pressure and medication requirements in corticoid glaucoma. This surgery has less complication and can be the first choice in treatment of corticoid glaucoma