Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach
Purpose: To report outcome of trabeculectomy performed by single scleral suture in Indian eyes. Methods: Non-randomized, non-masked, retrospective cohort analysis. Medical records of all consecutive patients who underwent trabeculectomy between 1 January 2011 and 31 December 2016 at CL Gupta Eye Ins...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-06-01
|
| Series: | Therapeutic Advances in Ophthalmology |
| Online Access: | https://doi.org/10.1177/2515841419854829 |
| _version_ | 1818258890847944704 |
|---|---|
| author | Mukesh Kumar Shafia Parveen Lokesh Chauhan |
| author_facet | Mukesh Kumar Shafia Parveen Lokesh Chauhan |
| author_sort | Mukesh Kumar |
| collection | DOAJ |
| description | Purpose: To report outcome of trabeculectomy performed by single scleral suture in Indian eyes. Methods: Non-randomized, non-masked, retrospective cohort analysis. Medical records of all consecutive patients who underwent trabeculectomy between 1 January 2011 and 31 December 2016 at CL Gupta Eye Institute, Moradabad (India), were reviewed and analyzed. Trabeculectomy was performed using single scleral suture for flap closure. The suture knot was buried inside sclera. The laser lysis of scleral suture was not done. Success was defined as complete success if an intraocular pressure (IOP) was >5 and ⩽21 mmHg without any glaucoma medications or re-surgery. Qualified success was defined as IOP ⩽21 mmHg with or without antiglaucoma medications. Results: Data of 98 patients was analyzed. A total of 61 (62.2%) of them underwent trabeculectomy, and 37 (37.7%) underwent phacotrabeculectomy. The probability of complete success in patient underwent phacotrabeculectomy was 86% at 3 years, and in-patient underwent only trabeculectomy was 95% at 3 years. The probability of qualified success in patient undergone phacotrabeculectomy was 91% at 3 years, and in patient undergone only trabeculectomy was 97% at 3 years. Conclusion: The mean postoperative IOP was significantly less then mean preoperative IOP, at all follow-up visits. This simplified technique also resulted in high midterm success probabilities with low complication rates. |
| first_indexed | 2024-12-12T18:06:44Z |
| format | Article |
| id | doaj.art-53bcd4dc9f024540bac603afd4812e04 |
| institution | Directory Open Access Journal |
| issn | 2515-8414 |
| language | English |
| last_indexed | 2024-12-12T18:06:44Z |
| publishDate | 2019-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Ophthalmology |
| spelling | doaj.art-53bcd4dc9f024540bac603afd4812e042022-12-22T00:16:28ZengSAGE PublishingTherapeutic Advances in Ophthalmology2515-84142019-06-011110.1177/2515841419854829Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approachMukesh KumarShafia ParveenLokesh ChauhanPurpose: To report outcome of trabeculectomy performed by single scleral suture in Indian eyes. Methods: Non-randomized, non-masked, retrospective cohort analysis. Medical records of all consecutive patients who underwent trabeculectomy between 1 January 2011 and 31 December 2016 at CL Gupta Eye Institute, Moradabad (India), were reviewed and analyzed. Trabeculectomy was performed using single scleral suture for flap closure. The suture knot was buried inside sclera. The laser lysis of scleral suture was not done. Success was defined as complete success if an intraocular pressure (IOP) was >5 and ⩽21 mmHg without any glaucoma medications or re-surgery. Qualified success was defined as IOP ⩽21 mmHg with or without antiglaucoma medications. Results: Data of 98 patients was analyzed. A total of 61 (62.2%) of them underwent trabeculectomy, and 37 (37.7%) underwent phacotrabeculectomy. The probability of complete success in patient underwent phacotrabeculectomy was 86% at 3 years, and in-patient underwent only trabeculectomy was 95% at 3 years. The probability of qualified success in patient undergone phacotrabeculectomy was 91% at 3 years, and in patient undergone only trabeculectomy was 97% at 3 years. Conclusion: The mean postoperative IOP was significantly less then mean preoperative IOP, at all follow-up visits. This simplified technique also resulted in high midterm success probabilities with low complication rates.https://doi.org/10.1177/2515841419854829 |
| spellingShingle | Mukesh Kumar Shafia Parveen Lokesh Chauhan Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach Therapeutic Advances in Ophthalmology |
| title | Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach |
| title_full | Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach |
| title_fullStr | Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach |
| title_full_unstemmed | Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach |
| title_short | Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach |
| title_sort | midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy a simplified approach |
| url | https://doi.org/10.1177/2515841419854829 |
| work_keys_str_mv | AT mukeshkumar midtermoutcomeofsinglescleralsuturetechniqueintrabeculectomyandphacotrabeculectomyasimplifiedapproach AT shafiaparveen midtermoutcomeofsinglescleralsuturetechniqueintrabeculectomyandphacotrabeculectomyasimplifiedapproach AT lokeshchauhan midtermoutcomeofsinglescleralsuturetechniqueintrabeculectomyandphacotrabeculectomyasimplifiedapproach |