[Excision of the ciliary body (Sautter procedure) as a last resort in secondary glaucoma (author's transl)].

Within the past five years we have performed excision of one quadrant of the ciliary body (pars plicata) (e.c.b.) in 22 eyes with secondary narrow-angle glaucoma. Prior to e.c.b. numerous surgical procedures for glaucoma had been attempted. Sixteen of the eyes were aphakic, six phakic. In nine eyes secondary angle closure was due to rubeosis iridis. The observation period following e.c.b. averaged 27.4 months. The preoperative tensions ranged between 40 and 50 mmHg. In 12 out of 22 eyes e.c.b. alone was sufficient to lower the intraocular pressure permanently; in seven cases local therapy (Timolol, Eppystabil) and/or oral Diamox respectively had to be added. Two eyes became atrophic and blind between one and 1.5 years following e.c.b.