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AIM: To investigate the clinical effect of modified trabeculectomy in the treatment for glaucoma. METHODS: A total of 21 eyes of 18 patients were performed modified trabeculectomy with anti-metabolism medicine and adjustable suture for scleral flap. Postoperative visual acuity, intraocular pressure (IOP), anterior chamber and complications were observed. RESULTS: Postoperative visual acuity was of no change in 6 cases (8 eyes), improved in 9 cases (10 eyes), descended in 3 cases (3 eyes), compared with preoperative visual acuity. The complications included grade I shallow anterior chamber in 3 cases (3 eyes) and bulbar conjunctival injury leaking in 4 cases (4 eyes), which were cured by treatment. The postoperative IOP could not be controlled and the repeated surgery was needed in 1 case (1 eye). The adjustable suture was removed according to the changes of IOP and the depth of anterior chamber postoperatively. The visual field was improved in some patients. CONCLUSION: The modified trabeculectomy got a better clinical effect, which induced much fewer postoperative complications. And long-term outcome of modified trabeculectomy should be followed up. LA: Chinese
Dr. G.-Q. Wang, Department of Ophthalmology, Naval General Hospital, Beijing 100037, China. wgqbyq@tom.com
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)