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Jul-Ago - Sociedade Brasileira de Oftalmologia

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Resultados da associação trabeculotomia-trabeculectomia em pacientes não idosos229prospectively analyzed and followed up for 21,6 ± 7,2 (5,1a 29,7) months. Results: IOP was reduced from 32,03 ±10,01 (12 to 50) mmHg to 9,42 ± 3,50 (2 e 16) mmHg withthe number of topical medications being reduced from 1,47± 1,54 (0 a 4) to 0,16 ± 0,37 (0 a 1). The target IOP wasobtained in 15 of the eyes (78,94%). A great IOP reductionwas obtained in eyes without significant blebs. Three eyes<strong>de</strong>veloped persistent hipotony. Conclusion: The procedureproved to be effective. The IOP reduction in eyes withoutsignificant blebs make us to infer that isolatedtrabeculotomy should be sufficient to control IOP for someof these eyes. The occurency of hipotony was similar to thatfrom isolated trabeculectomy for pacients of the same age.Keywords: Trabeculectomy/methods; Trabeculotomy;Treatment outcome; Glaucoma/surgery;Intraocular pressure; Adult; AdolescentREFERÊNCIAS1. Borisuth NS, Phillips B, Krupin T. The risk profile of glaucomafiltration surgery. Curr Opin Ophthalmol. 1999;10(2):112-6.2. Broadway DC, Chang LP. Trabeculectomy, risk factors forfailure and the preoperative state of the conjunctiva. J Glaucoma.2001;10:237-49.3. Shigeeda T, Tomidokoro A, Chen YN, Shirato S, Araie M. Longtermfollow-up of initial trabeculectomy with mitomycin Cfor primary open-angle glaucoma in Japanese patients. J Glaucoma.2006;15(3):195-9.4. El<strong>de</strong>r MJ. Combined trabeculotomy-trabeculectomy comparedwith primary trabeculectomy for congenital glaucoma.Br J Ophthalmol. 1994;78(10):745-8.5. Mullaney PB, Selleck C, Al-Awad A, Al-Mesfer S, Zwaan J.Combined trabeculotomy and trabeculectomy as an initialprocedure in uncomplicated congenital glaucoma. ArchOphthalmol. 1999;117(4):457-60.6. Grehn F. The value of trabeculotomy in glaucoma surgery.Curr Opin Ophthalmol. 1995;6(2):52-60.7. Sampaolesi R. Glaucoma. 2a ed. Buenos Aires: EditorialMédica Panamericana; 1991.8. Hoskins Jr HD, Kars M. Becker-Shaffer’s diagnosis andtherapy of the glaucomas. 6a ed. St. Louis/ Toronto/Baltimore:Mosby, 1989. cap. 39.9. Rith R, Shields MB, Krupin T, editors. The glaucomas: glaucomatherapy. 2a ed. St. Louis: Mosby; c1996.10. Rouland JF. Les points-clés <strong>de</strong> la chirurgie: la trabéculotomie.J Fr Ophtalmol. 2007;30(5 Pt 2):3S62-5.11. Cohen R, Almeida GV, Mandia Júnior C. Glaucoma congênito:relação entre ida<strong>de</strong>, estádio evolutivo e resultado cirúrgico.Arq Bras Oftalmol. 1988;51(3):113-5.12. Calixto N, Bastos CCX, Yamane R, Cronemberger S.Gonioscopia no glaucoma congênito primário: valor pré e póstrabeculotomia na avaliação dos resultados cirúrgicos. RevBras Oftalmol. 1999;58(10):755-63.13. Oliveira TL, Fulco GD, Monte JM. Glaucoma congênito:aspectos epi<strong>de</strong>miológicos e resultado cirúrgico. Rev BrasOftalmol. 1999;58(5):325-8.14. Betinjane AJ, Carvalho CA. Resultados pressóricos a longoprazo do tratamento do glaucoma congênito primário. RevBras Oftalmol. 2001;60(2):105-10.15. Kubota T, Touguri I, Onizuka N, Matsuura T.Phacoemulsification and intraocular lens implantation combinedwith trabeculotomy for open-angle glaucoma and coexistingcataract. Ophthalmologica. 2003;217(3):204-7.16. Mizoguchi T, Kuroda S, Terauchi H, Nagata M. Trabeculotomycombined with phacoemulsification and implantation of intraocularlens for primary open-angle glaucoma. SeminOphthalmol. 2001;16(3):162-7.17. Vass C, Menapace R. Surgical strategies in patients with combinedcataract and glaucoma. Curr Opin Ophthalmol.2004;15(1):61-6. Review.18. Tanito M, Ohira A, Chirara E. Factors leading to reducedintraocular pressure after combined trabeculotomy and cataractsurgery. J Glaucoma. 2002;11(1):3-9.19. Chihara E, Nishida A, Kodo M, Yoshimura N, Matsumura M,Yamamoto M, Tsukada T. Trabeculectomy ab externo: an alternativetreatment in adult patients with primary open-angleglaucoma. Ophthalmic Surg. 1993;24(11):735-9.20. Hoffmann E, Schwenn O, Karallus M, Krummenauer F, Grehn,Pfeiffer N. Long-term results of cataract surgery combinedwith trabeculotomy. Graefes Arch Clin Exp Ophthalmol.2002;240(1):2-6.21. Gimbel HV, Meyer D, DeBroff BM, Roux CW, FerensowiczM. Intraocular pressure response to combinedphacoemulsification and trabeculotomy ab externo versusphacoemulsification alone in primary open-angle glaucoma.J Cataract Refract Surg. 1995;21(6):653-60.22. Honjo M, Tanihara H, Negi A, Hangai M, Taniguchi T, HondaY, et al. Trabeculotomy ab externo, cataract extraction, andintraocular lens implantation: preliminary report. J CataractRefract Surg. 1996;22(5):601-6.23. Wada Y, Nakatsu A, Kondo T. Long-term results of trabeculotomyab externo. Ophthalmic Surg. 1994;25(5):317-20.24. Tanihara H, Honjo M, Inatani M, Honda Y, Ogino N, Ueno S,et al. Trabeculotomy combined wtih phacoemulsification andimplantation of an intraocular lens for the treatment of primaryopen-angle glaucoma and coexisting cataract. OphthalmicSurg Lasers. 1997;28(10):810-7.25. Kjer B, Kessing SV. Trabeculotomy in juvenile primary openangleglaucoma. Ophthalmic Surg. 1993;24(10):663-8.26. Tanihara H, Negi A, Akimoto M, Nagata M. Long-term surgicalresults of combined trabeculotomy ab externo and cataractextraction. Ophthalmic Surg. 1995;26(4):316-24.27. Honjo M, Tanihara H, Inatani M, Honda Y. Externaltrabeculotomy for the treatment of steroid-induced glaucoma.J Glaucoma. 2000;9(6):483-5.28. Tanihara H, Negi A, Akimoto M, Terauchi H, Okudaira A,Kozaki J, et al. Surgical effects of trabeculotomy ab externoon adult eyes with primary open angle glaucoma andpseudoexfoliation syndrome. Arch Ophthalmol.1993;111(12):1653-61.29. Mizoguchi T, Nagata M, Matsumura M, Kuroda S, Terauchi H,Tanihara H. Surgical effects of combined trabeculotomy andsinusotomy compared to trabeculotomy alone. ActaOphthalmol Scand. 2000;78(2):191-5.30. Tanito M, Park M, Nishikawa M, Ohira A, Chihara E. Comparisonof surgical outcomes of combined viscocanalostomyand cataract surgery with combined trabeculotomy and cataractsurgery. Am J Ophthalmol. 2002;134(4):513-20.31. Mandal AK, Naduvilath TJ, Jayagandan A. Surgical results ofcombined trabeculotomy-trabeculectomy for <strong>de</strong>velopmentalglaucoma. Ophthalmology. 1998;105(6):974-82.Rev Bras Oftalmol. 2009; 68 (4): 223-30

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