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Abstract #15883 Published in IGR 2-3
Fornix-based trabeculectomy with Wise's suture technique in Chinese patients
Ng PWC; Yeung BYM; Yick DWF; Yu CBO; Lam DSCOphthalmology 2000; 107: 2310-2313
OBJECTIVE: To assess the safety and efficacy of fornix-based trabeculectomy with Wise's suture technique in Chinese subjects. DESIGN: A retrospective noncomparative case series. PARTICIPANTS: Forty-eight eyes of 44 Chinese subjects that underwent fornix-based trabeculectomy combined with intraoperative 0.4 mg/ml mitomycin C for three to five minutes were studied. INTERVENTION: Conjunctival wound closure of all eyes was with Wise's technique using 9-0 nylon suture to prevent leakage at the corneolimbal interface. MAIN OUTCOME MEASURES: The success rate, with or without antiglaucoma medication, the complication rate, and the longevity of the drainage blebs, were analyzed. RESULTS: At a mean follow-up period of 21.8 ± 4.5 months, 75% (36 eyes) had postoperative intraocular pressure of 21 mmHg or less. Of these, 23 eyes (47.9%) required no antiglaucoma medication, seven eyes (14.6%) required one medication, three eyes (6.3%) required two medications, and three eyes (6.3%) required three medications. Ten eyes (21%) had early wound leakage. Two eyes (4.2%) required surgical repair. Two eyes (4%) had hypotonous maculopathy. No other major complications were encountered. CONCLUSIONS: Fornix-based trabeculectomy with adjunctive mitomycin C using Wise's suture technique appears to be both safe and effective in Chinese subjects.
Dr. P.W.C. Ng, Hospital Authority Ophthalmic Services, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong
Classification:
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)