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Abstract #19166 Published in IGR 3-1
Reversed trabeculectomy for treatment of glaucoma
Zheng J; Jiang K; Liu Xet al.Chinese Journal of Ophthalmology 2001; 37: 115
OBJECTIVE: To reduce postoperative blocking of the filtration canal in modified routine trabeculectomy. METHODS: The modification of the routine trabeculectomy procedure was that one end of the 4.0 x 1.5 mm deep layer scleral tissue, including part of the trabecular meshwork, was not cut. Instead, the free end of the strip of deep scleral tissue was rotated vertically and sutured to the deep layer of the scleral bed posterior to it. The projection of the strip was utilized to prevent postoperative blocking of the filtration canal. RESULTS: The mean period of postoperative follow-up was 23.5 months (range, 12-36 months). In the treatment group (38 eyes of 33 patients), the intraocular pressure (IOP) was lowered from 25.41 ± 2.41 mmHg preoperatively to 14.74 ± 0.90 mmHg postoperatively. IOP was lowered from 24.96 ± 1.35 mmHg preoperatively to 19.40 ± 1.43 mmHg postoperatively in the control group (40 eyes of 33 patients). The success rate was 94.7% and 77.5% in the treatment and control groups, respectively. CONCLUSIONS: Modified trabeculectomy is safe, easy to perform, and can effectively relieve postoperative blocking of the filtration canal, control postoperative IOP, and reduce postoperative recurrence. LA: Chinese
Dr J. Zheng, Department of Ophthalmology, The Central Hospital, Shaoyang, Henan 422000, China
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
