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Results of Peripheral Iridectomy with Scleral Cautery in Congenital and Juvenile Glaucoma

Results of Peripheral Iridectomy with Scleral Cautery in Congenital and Juvenile Glaucoma Abstract I. Introduction This paper presents results obtained from iridectomy with scleral cautery, largely as a reoperative procedure, on 57 eyes (40 patients) with infantile glaucoma (Table 1) and on 15 eyes (12 patients) with juvenile glaucoma (Table 2). It was used as a reoperative procedure in all except 2 of the eyes with infantile glaucoma and 3 of the eyes with juvenile glaucoma. Although goniotomy or goniopuncture, alone or combined, is the operation of choice in infantile glaucoma, failure to control intraocular pressure occurs, including reoperations, in approximately 20% of eyes. In my experience, goniotomy and goniopuncture have little chance of success if the intraocular pressure is not controlled after the first 2 or 3 attempts. Since the outlook is no better with conventional operations, such as trephination, iridencleisis, and cyclodialysis, I began to use iridectomy with scleral cautery for reoperating on such eyes in September, 1956.I have also References 1. Scheie, H. G.: Goniopuncture: An Evaluation After 11 Years , Arch. Ophthal. 65:38, 1961.Crossref 2. Scheie, H. G.: Retraction of Scleral Wound Edges: As a Fistulizing Procedure for Glaucoma , Amer. J. Ophthal. 45:220 (April, (Pt. 2) ) 1958. 3. McLean, J. M.: Personal communication to the author. 4. Guinan, P. M.: Peripheral Iridectomy with Scleral Cautery: Scheie's Operation for Glaucoma , Trans. Ophthal. Soc. U.K. 81:713, 1961. 5. Scheie, H. G.: Management of Infantile Glaucoma , A.M.A. Arch. Ophthal. 62:35, 1959.Crossref 6. Haas, J. S.: Symposium: Congenital Glaucoma: End Results of Treatment , Trans. Amer. Acad. Ophthal. 59:333, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Results of Peripheral Iridectomy with Scleral Cautery in Congenital and Juvenile Glaucoma

Archives of Ophthalmology , Volume 69 (1) – Jan 1, 1963

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1963.00960040019005
Publisher site
See Article on Publisher Site

Abstract

Abstract I. Introduction This paper presents results obtained from iridectomy with scleral cautery, largely as a reoperative procedure, on 57 eyes (40 patients) with infantile glaucoma (Table 1) and on 15 eyes (12 patients) with juvenile glaucoma (Table 2). It was used as a reoperative procedure in all except 2 of the eyes with infantile glaucoma and 3 of the eyes with juvenile glaucoma. Although goniotomy or goniopuncture, alone or combined, is the operation of choice in infantile glaucoma, failure to control intraocular pressure occurs, including reoperations, in approximately 20% of eyes. In my experience, goniotomy and goniopuncture have little chance of success if the intraocular pressure is not controlled after the first 2 or 3 attempts. Since the outlook is no better with conventional operations, such as trephination, iridencleisis, and cyclodialysis, I began to use iridectomy with scleral cautery for reoperating on such eyes in September, 1956.I have also References 1. Scheie, H. G.: Goniopuncture: An Evaluation After 11 Years , Arch. Ophthal. 65:38, 1961.Crossref 2. Scheie, H. G.: Retraction of Scleral Wound Edges: As a Fistulizing Procedure for Glaucoma , Amer. J. Ophthal. 45:220 (April, (Pt. 2) ) 1958. 3. McLean, J. M.: Personal communication to the author. 4. Guinan, P. M.: Peripheral Iridectomy with Scleral Cautery: Scheie's Operation for Glaucoma , Trans. Ophthal. Soc. U.K. 81:713, 1961. 5. Scheie, H. G.: Management of Infantile Glaucoma , A.M.A. Arch. Ophthal. 62:35, 1959.Crossref 6. Haas, J. S.: Symposium: Congenital Glaucoma: End Results of Treatment , Trans. Amer. Acad. Ophthal. 59:333, 1955.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jan 1, 1963

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