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Abstract #5533 Published in IGR 1-2
The benefits of phacotrabeculectomy using 10-0 polyglactin sutures
Vyas AV; Bacon PJ; Percival SPEye 1999; 13: 215-220
PURPOSE: To determine the efficacy of a small scleral flap sutured with 10-0 polyglactin (Vicryl). METHODS: 165 eyes underwent clear cornea punch trabeculectomy under a 5.0 mm wide scleral flap that was closed with two 10-0 Vicryl sutures after phacoemulsification and insertion of a single-piece PMMA lens. Complications, tonometric and visual results were assessed at regular intervals. Statistical analysis was by Fischer's exact test. RESULTS: 100 eyes that were followed for 1 year showed a mean intraocular pressure (IOP) of 14.7 mmHg, representing a fall of 36.5%. At 2 years, the mean IOP was 16 mmHg (33 eyes). At final follow-up, 87% had a corrected acuity of 6/12 or better and 96% had IOPs below 22 mmHg without additional medication. Complications included 11.5% fibrin reaction, 5.5% secondary hyphema and 7.3% hypotony. There was a significant association of fibrin with both hypotony and pseudoexfoliation. CONCLUSIONS: These mid-term results show that 10-0 Vicryl compares favorably with other suture materials the results of which have been reported, and obviates the need for routine use of antimetabolites or for postoperative manipulations at the slit-lamp.
A.V. Vyas, Department of Ophthalmology, Scarborough District Hospital, Scarborough; UK
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
