Trabeculectomy in the management of glaucomatocyclitic crisis with visual field defect.

PURPOSE: To investigate the effect of trabeculectomy in the management of glaucomatocyclitic crisis with uncontrolled intraocular pressures (IOPs) and visual field defects.

METHODS

Trabeculectomy was performed in 8 patients (2 males and 6 females) who had unilateral glaucomatocyclitic crisis with uncontrolled intraocular pressure (IOP) and visual field defects. After the surgeries the patients were followed up for 30.00 +/- 17.24 (mean +/- SD, the same below) months with best-corrected visual acuity (BCVA) and IOP measurements, keratic precipitates (KP), bleb and anterior chamber exams, and visual field tests.

RESULTS

Preoperative IOP of these patients was 50.13 +/- 4.58 mmHg. By the end of follow-up, IOP in all patients was reduced to normal level (14.63 +/- 2.33 mmHg) without any anti-glaucoma medications. Three patients had type I blebs, and 5 patients had type II blebs. Six patients had no recurrent attacks during the entire follow-up period, while recurrent anterior uveitis was observed in the other 2 patients (2 and 3 times, respectively). No visual acuity loss or further visual field loss was found in any of these patients at the end of follow-up.

CONCLUSIONS

Trabeculectomy is a safe and effective method for the management of glaucomatocyclitic crisis with uncontrolled IOPs and visual field defects.