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Filtering iridocycloretraction in chronic closed-angle glaucoma.

A P Nesterov, L N Kolesnikova

    American Journal of Ophthalmology
    |March 15, 1985
    PubMed
    Summary
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    Filtering iridocycloretraction effectively controlled intraocular pressure in most eyes with chronic glaucoma. This surgical technique demonstrated sustained efficacy in managing glaucoma over a mean follow-up of 19 months.

    Area of Science:

    • Ophthalmology
    • Surgical Innovation

    Background:

    • Chronic glaucoma, including closed-angle and combined types, presents a significant challenge in intraocular pressure (IOP) management.
    • Traditional surgical interventions may have limitations in achieving long-term IOP control.

    Purpose of the Study:

    • To evaluate the efficacy and long-term outcomes of filtering iridocycloretraction for chronic closed-angle or combined glaucoma.
    • To assess the rate of intraocular pressure control and the need for adjunctive medication post-surgery.

    Main Methods:

    • A cohort of 98 patients (112 eyes) with chronic closed-angle or combined glaucoma underwent filtering iridocycloretraction.
    • The procedure involved creating limbal-based scleral strips introduced into the anterior chamber and supraciliary space.
    • Follow-up ranged from 12 to 30 months, with a mean of 19 months.

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    Main Results:

    • Early postoperative IOP control (≤21 mm Hg) was achieved in 107 of 112 eyes (95.5%) with surgery alone or with medication.
    • At long-term follow-up (mean 19 months), 78 eyes (85.7%) maintained IOP control with surgery alone, and 4 eyes required medication.
    • Three eyes required reoperation.

    Conclusions:

    • Filtering iridocycloretraction is a viable surgical option for managing chronic closed-angle and combined glaucoma.
    • The procedure offers sustained intraocular pressure control in a majority of patients over the long term.
    • Further investigation may be warranted for eyes requiring repeat interventions.