International Ophthalmology

, Volume 16, Issue 4–5, pp 367–370 | Cite as

Daunorubicin versus 5-Fluoro-Uracil in surgical treatment of primary open angle glaucoma: a prospective study

  • P. Demailly
  • G. Kretz
Section 9: Surgical Treatment

Abstract

In a prospective randomized study, we compare the results at 20 months of 5 Fluoro-Uracil and Daunorubicin filtering surgery in two groups of 25 patients with primary open-angle glaucoma. For the first group of 14 eyes, 10 injections of 5FU are done and only one subconjunctival preoperative injection of Daunorubicin in the second group of 13 eyes. 5FU group consists of 13 patients: 9 males, 4 females. The mean age is 52.3±18.4 years. The mean follow-up is 6.9 7 months. Daunorubicin group consists of 12 patients: 9 males, 3 females. The mean age is 50.2± 21.4 years. The mean follow-up is 7.3±7 months. By Kaplan-Meier method, the probability success rate is 79 per 100 with 5FU and 68 per 100 with Daunorubicin. After 5FU procedure, the most disturbing complication is related to the decrease in IOP during the first postoperative days: flat anterior chamber (9 eyes) (7 eyes after Daunorubicin), choroïdal detachment (6 eyes) (2 eyes after Daunorubicin), cataract (3 eyes in the two groups). After Daunorubicin, corneal complications are less frequent: corneal ulcer (2 eyes) (3 eyes after 5FU), corneal dystrophy (1 eye in the two groups). Transient chemosis and local palpebral oedema are constant after Daunorubicin. We compared the IOP reduction rate and visual function loss in the two groups.

Key words

trabeculectomy primary open angle glaucoma daunorubicin 5-Fluoro-Uracil 

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Copyright information

© Kluwer Academic Publishers 1992

Authors and Affiliations

  • P. Demailly
    • 1
  • G. Kretz
    • 1
  1. 1.Hospital Saint-JosephParis, Cedex 14France

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