Effectiveness of nonpenetrating trabeculectomy in aphakic patients with glaucoma

Ophthalmic Surg. 1984 Jan;15(1):44-50.


Nonpenetrating trabeculectomy was performed on 28 aphakic eyes consisting of 18 with chronic open-angle glaucoma and 10 with secondary and/or complicated glaucoma. The canal of Schlemm and the juxtacanalicular trabecular meshwork were excised for a length of 4 mm beneath a 6 mm x 6 mm scleral flap. At one year postoperatively, 72.0% of all patients were controlled, 24% required no antiglaucoma medications. However, 88% of chronic simple glaucoma patients were satisfactorily controlled. The mean follow-up period was 1.4 years. Minimal complications have been encountered to date. Nonpenetrating trabeculectomy may be valuable as an initial procedure in aphakic patients who require glaucoma filtration surgery.

MeSH terms

  • Adult
  • Aphakia, Postcataract / complications*
  • Child
  • Female
  • Follow-Up Studies
  • Glaucoma / complications
  • Glaucoma / surgery*
  • Glaucoma, Open-Angle / complications
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Sclera / surgery
  • Visual Acuity