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Abstract #6533 Published in IGR 3-2
A randomized trial of the long-term effects of digital ocular compression in the late postoperative period
Henderer JD; Heeg MC; Spaeth GL; Moster MR; Myers JS; Schmidt CM Jr; Katz LJ; Steinmann WCJournal of Glaucoma 2001; 10: 266-270
PURPOSE: To determine whether digital ocular compression is a viable technique to lower intraocular pressure (IOP) in patients at least three months after trabeculectomy. PATIENTS AND METHODS: A six-month prospective, randomized, controlled, single-masked trial of 29 patients who underwent trabeculectomy at the Glaucoma Service of Wills Eye Hospital. Patients were assigned to two groups: ocular compression or cheekbone compression (control group). The ocular compression group performed compression to the operated eye three times a day in the pattern of ten seconds of pressure, five seconds of test, and ten seconds of pressure. Pressure was applied with the index finger through the closed lid to the center of the cornea. Pressure was steady and firm, but not painful. No massaging was performed. The cheekbone compression group applied pressure to the zygomatic arch with an identical style and frequency. RESULTS: At six months, the change in mean IOP for the ocular compression group was 0.25 mmHg compared with -0.44 mmHg for the control group (p = 0.7). A few patients in both groups experienced large swings in IOP and mild to moderate discomfort. CONCLUSION: Ocular compression had little to no success in the long-term management of increased IOP in the late postoperative period in this study.
Dr J.D. Henderer, Wills Eye Hospital, Glaucoma Service, 900 Walnut Street, Philadelphia, PA 19107, USA. henderer@willsglaucoma.org
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)