Sutureless trabeculectomy as a substitute for conventional trabeculectomy in the management of primary open angle glaucoma
Journal Title: International Journal of Biomedical and Advance Research - Year 2017, Vol 8, Issue 9
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.
Authors and Affiliations
Ashok Madan, Minal Vyawahare, Samreen Ayubi
Keywords
Related Articles
- EP ID EP384107
- DOI 10.7439/ijbar.v8i9.4393
- Views 59
- Downloads 0
A prospective study observing outcome following posterior fossa craniotomy in patients with sitting position
Aims and Objective: To assess the outcome following posterior fossa craniotomy in sitting position with respect to hemodynamic changes as well as intra and post operative complications. Material and Method: The present...
Pattern of ocular trauma at MLB medical college, Jhansi (UP) - A retrospective study
Introduction: Ocular trauma is an important and yet preventable cause of visual morbidity especially among population in developing countries. Trauma is a significant cause of monocular blindness. Objective: To determine...
Analytical study of medical complications during pregnancy at SAMC & PGI, Indore
Background: Various medical complications may arise during course of pregnancy which may have adverse outcome on maternal morbidity and mortality. Prospective study was conducted for 1 year at tertiary care centre to ana...
A Rapid Appraisal of constitution and activities of Rogi Kalyan Samiti in National Rural Health Mission at Sub District Hospital, Rural Hospital and Primary Health Centers in Yavatmal District of Maharashtra State
The present study was carried out with an objective to study the constitution and activities of Rogi Kalyan Samiti (RKS). It is a rapid appraisal study done in Yavatmal District, Amaravati Division in Vidarbha region of...
Analytical study of treatment outcome of various topical modalities in Acne Vulgaris
Acne vulgaris is a multifactorial disease affecting the pilosebaceous follicle characterized by comedones, papules, pustules, nodules, cysts and scars. This study constituted 120 patients and was conducted at Department...