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OBJECTIVE: To observe anterior chamber by using ultrasound biomicroscopy (UBM) after modified trabeculectomy in deep of scleral flap and investigate the mechanism of decreasing intraocular pressure in this type of operation. METHODS: Eighty-five patients with varied glaucoma were treated with excision of deep layer sclera and trabecular by vertical limbus, then observed by using Canada OTI Scan 1000 UBM and examined the intraocular pressure postoperatively from 3 to 30 months (mean period [7.9 ± 6.2] months). RESULTS: The observation of UBM indicated that the filtering blebs were showed distinctly. The average postoperative intraocular pressure were (14.22 ± 3.62) mmHg. During the follow-up the functional filtering blebs of 54 eyes were present while those of 16 eyes were disappeared after 2-3 months postoperatively. CONCLUSION: We could conclude the anterior segment configuration of the glaucoma treated with modified trabeculectomy by UBM more safely and directly than traditional examination, and evaluate the effect of the decreasing intraocular pressure of the operation and further treatment postoperatively. LA: Chinese
Dr. Y.-N. Yang, Department of Ophthalmology, Renmin Hospital, Wuhan University, Wuhan 430060, China
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)