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AIM: To observe the efficiency and safety of quadratic adjustment suture in glaucoma trabeculectomy. METHODS: One hundred and senventy-three cases (343 eyes) with primary glaucoma were divided into two groups randomly and the quadratic adjustment suture for sclera-flap combining with trabeculectomy was applied to treatment group of 88 cases (178 eyes). The intraocular pressure (IOP), anterior chamber depth, filtering action and complication of post-operation were observed. RESULTS: The low intraocular pressure for the treatment group was 12.4%. The contrasting group was 25.5%(P < 0.01). The shallow anterior chamber for the treatment group was 2.2% and the contrasting group was 8.5% (P < 0.05). The complication of hyphema, choroidal detachment, hypotony maculopathy for the treatment group was 9.6%. The contrasting group was 36.4% (P < 0.005).The functional follicle type I + II for the treatment group was 98.4%. The contrasting group was 96.4% (P > 0.01). CONCLUSION: Applying the adjustment sutune for sclera-flap conbine with trabeculoctomy can prevent post-operation shallow anterior chamber and reduce the incidences of the complication of low intraocular pressure, etc. LA: Chinese
Dr. R.-F. Wang, The PLA Eye Center, 474th Hospital of Chinese PLA, Urumuqi 830011, China. wangrf068@sina.com
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)