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Abstract #10030 Published in IGR 5-3
Trabeculectomy with amniotic membrane transplantation and combining suture lysis of scleral flap in complicated glaucoma
Yue J; Hu C; Lei X; Qin G; Zhang YChinese Journal of Ophthalmology 2003; 39: 476-480
OBJECTIVE: To study and evaluate the outcome of trabeculectomy with amniotic membrand transplantation combining suture lysis of a scleral flap in complicated glaucoma. METHODS: This operation was performed in 48 patients (67 eyes) with complicated glaucoma. An amniotic membrane was implanted under a scleral flap and conjunctival flap and was combined with suture lysis for the scleral flap in order to control the outflow of aqueous humor. RESULTS: The follow-up period ranged from five to 38 months (mean, 19.5). Intraocular pressure (IOP) was lowered from 43.86 ± 7.12 mmHg preoperatively to 19.63 ± 2.57 mmHg postoperatively in neovascular glaucoma (t = 4.96; p < 0.001); from 40.31 ± 4.79 to 18.09 ± 2.21 mmHg in glaucoma after IOL implant (t = 3.54; p < 0.05); from 37.94 ± 5.63 to 20.14 ± 3.15 mmHg in aphakic glaucoma (t = 5.12; p < 0.05); from 32.48 ± 3.98 to 16.54 ± 1.84 mmHg in juvenile glaucoma (t = 4.23; p < 0.01); from 36.01 ± 4.13 to 18.11 ± 3.40 mmHg in uveitic glaucoma (t = 4.47; p < 0.01); from 34.43 ± 5.28 to 18.31 ± 1.52 mmHg in glaucoma after the failure of conventional filtering surgery (t = 2.05; p < 0.05). A statistically significant difference was found in IOP before and after operation. The rate of formation of a functional bulb was 80.6%. No rejections or severe complications were seen. CONLCUSION: Trabeculectomy with amniotic membrane transplantation combining suture of a scleral flap is a useful method in complicated glaucoma. LA: Chinese
Dr. J. Yue, Department of Ophthalmology, Ren He Hospital, China Three Gorges University, Yichang 443001, China. yuejun650304@163.com
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)