Volume : VIII, Issue : V, May - 2019

A comparative study of modified Trabeculectomy vs standard trabeculectomy

Dr Anand Kumar Kularia, Dr C S Vyas

Abstract :

Purpose. The original trabeculectomy technique of Cairns (1970) was modified to improve success rate. We describe a technique in which the iris of the iridectomy is used to prevent fiosis of the scleral flap. Results of this technique are compared with standard trabeculectomy. Material and Methods. In this prospective study, twenty patients with medically uncontrolled open angle glaucoma underwent modified trabeculectomy and standard trabeculectomy. There were 10 patients in each group. In modified technique instead of performing a usual iridectomy after trabeculectomy, the iris tag was sutured along with scleral flap. Postoperative management was similar to standard trabeculectomy, with suture removal and needling if necessary. All patients had one-year follow-up. Results. After regular monitoring of Intraocular pressure (IOP) for one year mean IOP was 14.6 mmHg for patients with modified trabeculectomy and IOP ≤ 17 mmHg was reached in 90% of patients without pressure lowering medication. No major complication was seen in any case; like flat anterior chamber, abnormal inflammatory reaction or postoperative raised IOP. There was eccentric pupil in a patient. In standard trabeculectomy patients mean IOP was 16.2 mmHg and only 70% patients had IOP ≤ 17 mmHg without antiglaucoma medication. Conclusion. This modified trabeculectomy with iris flap technique gives better success rate then doing trabeculectomy alone. This modification prevents trabeculectomy failure by fiosis. There is a minimal chance of trabeculectomy failure at no additional cost and complication.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

A COMPARATIVE STUDY OF MODIFIED TRABECULECTOMY VS STANDARD TRABECULECTOMY, Dr Anand Kumar Kularia, Dr C S Vyas GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-8 | Issue-5 | May-2019

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