Sutureless trabeculectomy as a substitute for conventional trabeculectomy in the management of primary open angle glaucoma

Ashok Madan, Minal Vyawahare, Samreen Ayubi

Abstract


Aim: To assess the safety and efficacy of sutureless punch trabeculectomy, as a substitute for conventional scleral flap trabeculectomy, in the management of primary open angle glaucoma.

Materials and methods: In a prospective, randomized study, 40 eyes of 40 patients with primary open angle glaucoma (POAG), who were candidates of trabeculectomy were included and randomly assigned into two groups, conventional scleral flap trabeculectomy (A) or sutureless scleral tunnel trabeculectomy (B). Assessment of intraoperative complications and postoperative visual acuity, intraocular pressure, antiglaucoma medications used and postoperative complications were followed for a period of 6 months.

Results: The mean preoperative IOP in the conventional group was 26.7 ± 3.010 mm Hg and in the sutureless group was 26.6 ± 3.067 mm Hg. The mean reduction in IOP in the conventional group after 6 months was 12.4 ± 0.350 mm Hg and in the sutureless group was 12.3 ± 0.407 mm Hg. The complete success rate in Group A was 55% and in Group B was 50%.No significant difference in complication rate was noted between the two groups.

Conclusion: It was seen that the sutureless scleral tunnel trabeculectomy has efficacy and safety comparable to conventional scleral flap trabeculectomy and hence can be used as a substitute for conventional scleral flap trabeculectomy.


Keywords


primary open angle glaucoma, conventional scleral flap trabeculectomy, sutureless scleral tunnel trabeculectomy, intraocular pressure.

Full Text:

PDF

References


. Revised by Sihota R, Tandon R. Parsons Diseases of the Eye,19th Edition.New Delhi. Butterworth-Heinemann. An Imprint of Elsevier;2003.

. Bulletin of the World Health Organisation, Resnikoff et al., p. 844-851.

. Cairns JE. Trabeculectomy preliminary report. American Journal of Ophthalmology 1968 Oct; 66:673-9.

. Lai JS, Lam DS. Trabeculectomy using a sutureless scleral tunnel technique: a preliminary study. Journal of glaucoma. 1999 Jun 1;8(3):188-92.

. Gous PN, Roux P. Preliminary report of suturelessphacotrabeculectomy through a modified self-sealing scleral tunnel incision. J Cataract Refractive Surgey 1995;21:160-9.

. Savage JA, Condon GP, Lytle RA, et al. Laser suture lysis after trabeculectomy. Ophthalmology 1988;95:1631-8.

. Schwartz AL, Weiss HS. Bleb leak with hypotoy after laser suture lysis and trabeculectomy with mitomycin C. Arch Ophthalmology 1992;110:1049

. Disclafani M, Liebmann JM, Ritch R. Malignant glaucoma following argon laser release of scleral flap sutures after trabeculectomy. American Journal of Opthalmology1989;108:597-8.

. Michael DW, Erik LG, Erwin AD, et al. Scleral flap sutures and the development of shallow or flat anterior chamber after trabeculectomy. Ophthalmic Surgeries 1993;24:309-13.

. Melamed S, Ashkenazi I, Glovinsky J, Blumenthal M. Tight scleral flap trabeculectomywih postoperative laser suture lysis. American Journal of Ophthalmology 1990; 109:303-9.

.Samuelson TW, Lindstrom RL. Combined glaucoma filtration surgery and phacoemulsification. SeminOpthalmology 192;7:279-85.

. Miller KM, Glasgow BJ. Bacterial endophthalmitis following sutureless cataract surgery. Arch Ophthalmology 1993; 111:377-9.

. Hessburg TP, Maxwell DP, Diamond JG. Endophthalmitis associated with sutureless cataract surgery. Arch Ophthalmology 1991;109:1499.

. Stonecipher KG, Parmley VC, Jensen H, Rowsey JJ. Infectious endophthalmitis following sutureless cataract surgery. Arch Ophthalmology 1991;109:1562-2

. Speaker MG, Milch FA, Shah MK et al. Role of external bacterial flora in the pathogenesis of acute postoperative endophthalmitis. Opthalmology 1991; 98:639-5.

. Ormerod LD, Puklin JE, McHenry JG, McDermott ML. Scleral flap necrosis and infectious endophthalmitis after cataract surgery with a scleral tunnel incision.




DOI: http://dx.doi.org/10.7439/ijbar.v8i9.4393

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 International Journal of Biomedical and Advance Research

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.