ABSTRACT: To compare the performance of the double-mirror goniolens with dual viewing system in goniosurgery, goniosynechialysis, and trabeculotomy ab externo with that of the conventional Swan-Jacob gonioprism (SJG).
Prospective interventional case series.
We treated 10 patients (10 eyes) with medically uncontrollable chronic angle-closure glaucoma by goniosynechialysis and another 10 eyes with open-angle glaucoma by trabeculotomy ab externo (TLO). The 20 patients were divided randomly into two equal groups and underwent operation with the double-mirror goniolens or SJG instrument.
There were no intraoperative complications, irrespective of the procedure or instrument that was used. Patients in the SJG group were required to tilt the head at a >30-degree angle to facilitate observation and manipulation of the quadrants. On the other hand, all structures could be observed and manipulated without head-tilting in the double-mirror goniolens group.
The double-mirror goniolens with dual viewing system is more suitable than the conventional SJG for goniosurgery.
American Journal of Ophthalmology 01/2007; 143(1):154-5. · 4.22 Impact Factor
ABSTRACT: To obtain useful information for the improvement of patient compliance in the medical treatment of glaucoma.
An unsigned attitude survey on glaucoma and eye drops was conducted with 431 glaucoma patients. Correlation between compliance and individual(objective and subjective) factors was investigated. Objective factors were age, sex, number of eye drop products, duration of disease, and degree of visual field defects. Subjective factors were "stinging sensation with application of eye drops" and "worry about blindness".
Thirty-eight percent of the glaucoma patients were compliant, instilling eye drops at the right time and with good technique. For the factor "duration of disease", patients who had glaucoma for 6-10 years had the best compliance. Compliance became poorer with an increasing number of eye drop products. In the subjective factors, less pain and worry led patients to better compliance.
To improve compliance with medical treatment, we should categorize patients based on objective factors, eliminating their pain and worry, and instructing them not only in the frequency of instillation but also in the technique of administration.
Nippon Ganka Gakkai zasshi 08/2006; 110(7):497-503.
Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics 12/2004; 41(6):604-6.