Open AccessGLAUCOMA CAPSULARE
Author(s) -
Muhammad Firdous
Publication year - 2009
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2009.16.03.2820
Subject(s) - medicine , trabeculectomy , glaucoma , surgery , medical treatment , intraocular pressure , medical therapy , ophthalmology , intensive care medicine
Purpose of Study: To emphasize the role of filtration surgery in the treatment of glaucoma capsulare. Moreover the studyalso highlights the importance of thorough ocular examination and diagnosis as the condition is likely to be missed. Material, M e t h o d s andResults: This study was conducted to find out the results of filtration surgery (trabeculectomy) in such cases. Forty cases with pseudoexfoliationglaucoma presenting in the Dept of Ophthalmology PAF Hospital Mushaf Sargodha were included. These patients were initially treated withtopical medications for three months. Thirty cases that showed poor response to drugs were operated upon and a trabeculectomy wasperformed. Postoperative pressure readings were recorded twice weekly for the first two months and then once monthly for four months. Aftera follow-up of six months, twenty five cases (83.33%) were effectively controlled without any added medications whereas five cases (16.67%)required addition of a single drug to achieve the desired effect. Conclusion: The response to medical treatment is generally not satisfactoryand surgery has to be undertaken as a final resort. Trabeculectomy is the safe and effective operation in glaucoma capsulare (pseudoexfoliationglaucoma).