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:: Volume 20, Issue 2 (Iranian Journal of Ophthalmology 2008) ::
2008, 20(2): 27-33 Back to browse issues page
Sutureless versus Conventional Trabeculectomy for Management of Primary Open Angle Glaucoma
Yadollah Eslami Dr., Shahram Agharokh Dr., Mohammad-Taher Rajabi Dr. *, Heydar Amini Dr., Reza Zarei Dr., Ghasem Fakhraei Dr.
, mt_rajabi@yahoo.com
Abstract:   (16213 Views)

Purpose : To assess the efficacy and safety of sutureless punch trabeculectomy as substitute for conventional scleral flap trabeculectomy.

Methods : In a prospective, randomized study, 44 eyes of 42 patients with primary open angle glaucoma (POAG) who were candidate of trabeculectomy were included and randomly assigned into two groups sutureless punch trabeculectomy or conventional scleral flap trabeculectomy. Intraoperative complications and postoperative visual acuity, IOP, bleb status, and complications were evaluated for a follow-up period of 6 months.

Results : Mean IOP was 21.9±7.9 mmHg before surgery and 16.0±4.7 mmHg 6 months after surgery in sutureless group, and 22.7±10.2 preoperatively and 15.8±5.2 postoperatively in the control group. No significant difference in complication rate was noted between the two groups. The absolute success rate was 50% and 59% in study and control group, respectively (P=0.545), and qualified success rate was 86.3% and 90.9% in the study and control group, respectively (P=0.365).

Conclusion : It appears that sutureless scleral tunnel trabeculectomy is a safe and effective drainage procedure for treating uncomplicated POAG, and can effectively substitute for conventional scleral flap trabeculectomy.

 

Iranian Journal of Ophthalmology 200820(2):27-33
Keywords: conventional scleral flap trabeculectomy, sutureless scleral tunnel trabeculectomy
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Type of Study: Original | Subject: General
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Eslami Y, Agharokh S, Rajabi M, Amini H, Zarei R, Fakhraei G. Sutureless versus Conventional Trabeculectomy for Management of Primary Open Angle Glaucoma. Iranian Journal of Ophthalmology. 2008; 20 (2) :27-33
URL: http://irjo.org/article-1-123-en.html


Volume 20, Issue 2 (Iranian Journal of Ophthalmology 2008) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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