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Abstract #26818 Published in IGR 12-3
Clinical observation of different sewing method of scleral flap in trabeculectomy of acute angle-closure glaucoma
Li H; Mi XInternational Journal of Ophthalmology 2010; 10: 1360-1361
AIM: To compare the clinical effect of improved sewing method and traditional sewing method of scleral flap in trabeculectomy for acute angle-closure glaucoma. METHODS: Forty-two eyes 68 cases with acute angle-closure glaucoma underwent trabeculectomy and peripheral iridectomy, A group 16 cases 28 eyes: improved sewing method of scleral flap was adopted during operation; B group 26 cases 40 eyes: traditional sewing method of scleral flap was used during operation. RESULTS: All cases were followed-up for 6-12 months, averaged 6.7 months. A group: the suture was pulled out 3-17 days after operation, averaged 8.33 days. The shallow anterior chamber was 2 cases (7%) in A group and 12 cases (30%) in B group, there was significant difference between 2 groups (P < 0.05). The intraocular tension was 10-19mmHg (averaged 13.31mmHg) in A and 6-42mmHg (averaged 14.64mmHg) in B after 2 weeks, there was no significant difference between 2 groups. The intraocular tension was 10-17.30mmHg (averaged 11.96mmHg) in A and 7-44mmHg (averaged 15.17mmHg) in B after 6 months, there was no significant difference between 2 groups. The functional filterbubble was 28 cases (100%) in A and 36 cases (90%) in B, there was no significant difference between 2 groups. CONCLUSION: It is safe and effetive that the improved sewing method of scleral flap for trabeculectomy of acute angle-closure glaucoma, and it is a better method to avoid the occurrance of shallow anterior chamber than the traditional sewing method in the forepart after operation.LA: Japanese
H. Li. Department of Ophthalmology, Central Hospital of Suining, Suining 629000, Sichuan Province, China. liheng1-1@163.com
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
