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Abstract #19855 Published in IGR 9-4
Clincal observation of the combined trabeculectomy for glaucoma
Yuan Z; Zhang Y-Z; Gao BInternational Journal of Ophthalmology 2007; 7: 1155-1157
AIM: To compare the effect of combined trabeculectomy and classical trabeculectomy in treating glaucoma. METHODS: Combined trabeculectomy (the reduction of bore of trabeculectomy combined with mitomycin and paracentesis of anterior chamber) was used on 56 patients (68 eyes) of glaucoma from January 2004 to December 2006 in our hospital (group A). Regular exams were made in the follow-up of three months to two years to compare with the 70 eyes undergoing classical trabeculectomy since 2002 (group B). The conditions of anterior chambers, pupils, filtering blebs and ocular pressure during and after the operations were observed. RESULTS: The postoperative occurrence of shallow anterior chamber was 7.3% in group A and 38.5% in Group B. After the operation, the pupil was not out of shape in group A with no iris sticked forward or backward, while the pupil was out of shape in eight eyes in group B, with iris sticked backwards in four eyes. One broken filtering bleb was cured and non-functioning filtering blebs were found in two eyes, while ten eyes with non-functioning filtering blebs in group B were ineffective. As for the intraocular pressure: it was out of control in two eyes in group A and eight eyes in group B needed medicine's help or more operations. CONCLUSION: Combined trabeculectomy is effective and safe with fewer complications after operation, and thus is an ideal method for the operation to treat glaucoma. LA: Chinese
Dr. Z. Yuan, Department of Ophthalmology, Wuhan University of Science and Technology, Wuhan 430064 Hubei Province, China. wujie674@sohu.com
Classification:
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)