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Automated Perimetry
Carbonic Anhydrase Inhibitors
Intra Ocular Lens Power Calculation and Optic Biometry...
Visual Field Defects in Glaucoma
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Current Minimal Invasive Angle Procedures Without Implants for the Treatment of Glaucoma...
Intra Ocular Lens Power Calculation and Optic Biometry...
Automated Perimetry
Carbonic Anhydrase Inhibitors
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
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TJ-CEO 2007 , Vol 2 , Num 3
Turkish Abstract Abstract PDF Similar Articles Mail to Author
Outcome of Releasable Suture Trabeculectomy
Tülay ŞİMŞEK1, Mehmet ÇITIRIK1, Ali Bülent ÇANKAYA1, Seda MÜTEVELLİ2, Aygen BATMAN3, Orhan ZİLELİOĞLU4
1S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Uzm. Dr.
2S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Asist. Dr.
3S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Doç. Dr.
4S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi Klinik Şefi, Ankara, Uzm. Dr.
Purpose: To compare the efficacy and complications of releasable suture trabeculectomy.
Materials and Methods: Sixty eyes of 60 patients with uncontrolled glaucoma despite maximally tolerated medical therapy were included in a study. Releasable suture trabeculectomy was performed all of patients by one ophthalmologist. Patients were evaluated for trabeculectomy related complications and long period intra ocular pressures postoperatively.
Results: 34 men (56.66%) and 26 women (43.33%) were available for follow up evaluation. Mean age was 59.46±7.1 (28-80 year). The mean intraocular pressure was determined as 30.4±4 mmHg preoperatively. Open angle glaucoma in 34 cases (56.6%), pseudoexfoliative glaucoma in 13 cases (21.6%), and angle closure glaucoma in 13 cases (21.6%) were detected as etiologic causes. The mean follow-up period was 48±1.6 months. On the first postoperative day, mean intraocular pressure was determined as 16.9±1.8 mmHg. The mean intraocular pressure was 11.83±2.08 mmHg after suture removal. Shallow anterior chamber was observed in 9 (15%) eyes, iridocorneal touch was observed in 5 (8.3%) eyes, and hypotony was observed in 8 eyes (13.3%) in the early postoperative period.
Conclusion: Releasable scleral flap sutures reduce the incidence of shallow anterior chamber and iridocorneal touch after trabeculectomy. Also, hypotony and related problem with this complication were seen lower.
Keywords : Releasable suture, hypotony, glaucoma, trabeculectomy
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