Surgical results in iridocorneal endothelial syndrome
M. Kidd, J. Hetherington and S. Magee
Department of Ophthalmology, University of California, San Francisco.
The charts of 83 patients with iridocorneal endothelial (ICE) syndrome were
retrospectively reviewed. Forty-two eyes of 42 patients had had filtering
surgery, 37 of whom had had a trabeculectomy to reduce uncontrolled
intraocular pressure. Twenty-four of these trabeculectomy patients required
a second surgery, and 8 required a third surgery. The results are presented
using a survival analysis. The success rates at one year of follow-up for
the first, second, and third trabeculectomies were 64%, 79%, and 63%,
respectively. Patients subclassified as having Chandler's syndrome,
essential iris atrophy, and Cogan-Reese syndrome responded with
approximately the same success rates within the first two years following
their first surgery. The success rates for repeated surgeries are
comparable with those of initial surgery in patients with primary open
angle glaucoma. On the basis of this study, further surgery is recommended
despite initial failure in this group of difficult patients.
