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Abstract #24450 Published in IGR 11-3
Clinical observation of an improved suture method of scleral flap in trabeculectomy of acute angle-closure glaucoma
Li H; Tang Z-J; Mi XInternational Journal of Ophthalmology 2009; 9: 1153-1154
AIM: To evaluate the clinical effect of an improved suture method of scleral flap in trabeculectomy of acute angle-closure glaucoma. METHODS: Twenty-eight eyes (16 cases) with acute angle-closure glaucoma underwent trabeculectomy and peripheral iridectomy. An improved suture method of scleral flap was adopted during operation. RESULTS: All cases were followed-up for 6-12 months, averaging 8.7 months. The suture was pulled out during 3-17 days after operation, average 8.33 days. The intraocular tension was 12.23-18.86 mmHg average 15.25 mmHg before the suture being pulled out, and was 10.00-17.30 mmHg, average 11.96 mmHg (P < 0.05) after that. There were no complications and effusion of filter-bubble in all cases. The rate of shallow anterior chamber was 7% in 28 eyes (I grade: 1 case; II grade: 1 case). At last, the intraocular tension in 28 eyes is from 10.00-17.30 mmHg, averaging 12.55 mmHg. The eyes of applanation filter-bubble, microcystic filter-bubble, and functional filter-bubble was 20, 8, and 28 respectively. CONCLUSION: Improved suture method of scleral flap in trabeculectomy of acute angle-closure glaucoma is safe and valid, and in favor of intraocular tension controlling and functional filter-bubble forming in the long term. LA: Chinese
Dr. H. Li, Department of Ophthalmology, Central Hospital of Suining City, Suining 629000, Sichuan Province, China. Liheng1-1@163.com
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)