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Abstract #23638 Published in IGR 11-2
Clinical observation of improved composite trabeculectomy
Shao J; Zhou Y-J; Zhong X-DInternational Journal of Ophthalmology 2009; 9: 570-572
AIM: To evaluate the effects of improved sclera flap combined with mitomycin C and adjustable sutures under surface anesthesia in glaucoma trabeculectomy. METHODS: Fifty-eight cases (70 eye) of the first-time trabeculectomy, with the concentration of mitomycin c is 0.2-0.3g/L in 2 to 4 minutes; 2 adjustable sutures shall be made at both sides of the scleral flap. Clinical observations must be carried out on postoperative intraocular pressure, filtering bleb and complications. RESULTS: All patients were followed up for an average of 12. 5 (plus or minus) 3.5 months, there would be a decline in the intraocular pressure after the operation; the functional filtering bleb formation rate would reach 87.1% 1 year after the operation without hypotony-related macular degeneration, and other serious complications. CONCLUSION: Improved scleral flap with mitomycin C, adjustable sutures can effectively reduce the complications of anesthesia, cut down the time of surgery and the intraocular pressures well as decrease post-operative complications under topical anesthesia in glaucoma trabeculectomy. LA: Chinese
J. Shao. Department of Ophthalmology, Shiyan People's Hospital, Yunyang Medical College, Shiyan 442000 Hubei Province, China. swhmv_526@163.com
Classification:
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
