Surgical methods and efficacy studies on traumatic angle recession glaucoma

Abstract

AIM: To discuss the operation manner and efficacy of traumatic angle recession glaucoma.METHODS:The clinical data of 80 patients(80 eyes)who was treated traumatic angle recession glaucoma by three different operation manners between January 2008 and December 2013 retrospectively. Of them, 66 eyes of 66 patients whose onset time after injury was 1mo～2a, preoperative IOP was 25～2～10a, preoperative IOP was 30～39mmHg, angle recession range >180°, the disc C/D =0.6～10a, preoperative IOP 39～50mmHg, angle recession range >180°, the disc C/D =0.8～1.0 selected Ahmed glaucoma valve implantation. RESULTS: IOP of all patients in three groups decreased to the normal range after operation(t=62.16, Pt=20.39, Pt=6.78, PCONCLUSION: For those patients with ineffective drug treatment, we can choose a different surgical approach, according to onset time, angle recession range and IOP, to effectively reduce IOP, improve visual acuity, and avoid further damage to visual function.

Keywords

• traumatic angle recession; glaucoma; trabeculectomy; compound trabeculectomy; Ahmed drainage valve implantation