[Surgical treatment of secondary glaucoma in uveitis with extremely shallow anterior chamber and cataract].

PURPOSE

To evaluate the efficacy of combined trabeculectomy, lensectomy and vitrectomy for the management of secondary glaucoma in uveitis with extremely shallow anterior chamber and cataract.

METHODS

Combined trabeculectomy, lensectomy and vitrectomy were undertaken for medically uncontrolled intraocular pressure (IOP) on 7 eyes (6 patients, aged from 4 months to 20 years) with secondary glaucoma in uveitis in a retrospective cohort study between 2001 and 2005.

RESULTS

The follow-up period ranged from 3 months to 4 years. Deep anterior chamber and functional bleb were observed in all the eyes postoperatively. The average IOP preoperatively, one day postoperatively, one week postoperatively, and the last time of follow-up were (5.18 +/- 0.77) kPa, (0.95 +/- 0.29) kPa, (0.93 +/- 0.12) kPa, and (1.14 +/- 0.70) kPa respectively. No severe complication was observed postoperatively except for the corneal edema and fiber exudation.

CONCLUSIONS

Combined trabeculectomy, lensectomy and vitrectomy serve as effective and safety treatments for secondary glaucomas uveitis accompanied by extremely shallow anterior chamber, cataract and vitreous opacity. Further intriguing study comparing this combined surgery with combined phacoemulsification and drainage implant surgery is warranted.