Our results of large area mitomycin C application rabeculectomy in cases with advanced glaucoma
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 4
Abstract
Objective: To evaluate large area Mitomycin-C (MMC) applied trabeculectomy results in advanced glaucoma patients in which targeted intraocular pressure (IOP) can not be achieved with maximum medical therapy. Methods: 41 eyes of 35 advanced glaucoma patients that can not be controlled with medical treatment were included to the study. Large area MMC application was applied for 2 minutes in 0.2 mg/ml concentration. The mean follow-up period was 28 months (24-36). All of the cases were advanced glaucoma patients and 21mmHg IOP level could not be achieved in spite of maximum treatment with three drugs. Results: Of the 35 patients that were included to study, 19 were male and 16 were female and the mean age was 52.5±1.8 years (range, 45-73). Twenty-seven of eyes were primary open angle glaucoma, 11 was pseudoexfoliative glaucoma, 3 were angle closure glaucoma. In 5 eyes (12.1%) there were early hypotonia. Additional suturation was made in 2 eyes with hypotonia. Two eyes were treated with tight patching. Suture addition was made in 1 eye with choroid effusion. Cataract was developed in 4 eyes. There were 3 cystic bleb (7.3%) and they were treated with needle application. Thin avascular bleb was developed in 10 eyes (24.4%). In other eyes (68.3%) there were thin diffuse bleb formations. When targeted IOP was considered as 15 mmHg, targeted IOP was achieved in 36 (87.8%) eyes. Conclusion: We suggest that trabeculectomy with large area MMC application is an effective choice in advanced glaucoma patients in which targeted IOP can not be achieved with maximum medical treatment. Key words: Mitomycin-C, trabeculectomy, bleb
Authors and Affiliations
Mutlu Dağlıoğlu, Esra Tuzcu, Nilüfer İlhan, Mesut Coşkun, Emre Ayıntap, Uğurcan Keskin, Özgür İlhan, Hilal Kahraman
Keywords
Related Articles
- EP ID EP93741
- DOI 10.5798/diclemedj.0921.2013.04.0339
- Views 146
- Downloads 0
Comparison of respiratory functions of athletes engaged in different individual sports branches
Objectives: It was aimed to research pulmonary functions of sedentary males and athletes who engaged in different individual sports branches in the same age group. Methods: 50 male athletes in 15-16 age group in the s...
Doğu Anadolu’da yeni açılan bir üniversitenin öğrencilerinde kaygı düzeylerinin sağlık, sosyal ve demografik faktörler ile ilişkisi
Amaç: Bu çalışma Tunceli Üniversitesi öğrencilerinde var olabilecek kaygı düzeylerini ve ilişkili faktörleri belirleyebilmek amacıyla yapılmıştır. Gereç ve yöntem: Tanımlayıcı tipte olan bu araştırma Tunceli Üniversi...
Pulmonary thromboembolism after caesarean section: A case report
The death of a female during pregnancy period, independent from the gestational age and localization or in a 42 day period after the end of pregnancy due to pregnancy related reasons or reasons aggravated by the pregnan...
Koklear implantasyon cerrahisi uygulanan 36 hastanın analizi
Amaç: Çalışmamızın amacı iki taraflı sensörinöral tip işitme kaybı sebebiyle koklear implantasyon yapılan hastaları etiyoloji, cerrahi yöntem ve komplikasyonlar açısından analiz etmektir. Gereç ve yöntem: Kasım 2010...
Successful endoscopic treatment of bleeding gastric varices with n-butyl-2-cyanoacrylate and lipiodol mixture injection
Objectives: The aim of this study was to determine effect of N-Butyl-2 Cyanoacrylate (CA) and lipiodol mixture injection for hemostasis of bleeding gastric varices or lesions, which had bled from gastric varices. Materi...