Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma

Pur po se: To compare the effect of trabeculectomy with mitomycin C (mit C) on central macular thickness (CMT) in primary openangle glaucoma (POAG) and pseudoexfoliative glaucoma (PXG). Ma te ri al and Met hod: 13 eyes with PXG and 11 eyes with POAG, which had undergone trabeculectomy with mit C,...

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Main Authors: Ufuk Elgin, Emine Şen, Hakan Tırhış
Format: Article
Language:English
Published: Galenos Yayinevi 2012-01-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_2114/Comparison-Of-The-Effect-Of-Trabeculectomy-With-Mitomycin-C-On-Macular-Thickness-In-Primary-Open-angle-Glaucoma-And-Pseudoexfoliative-Glaucoma
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author Ufuk Elgin
Emine Şen
Hakan Tırhış
author_facet Ufuk Elgin
Emine Şen
Hakan Tırhış
author_sort Ufuk Elgin
collection DOAJ
description Pur po se: To compare the effect of trabeculectomy with mitomycin C (mit C) on central macular thickness (CMT) in primary openangle glaucoma (POAG) and pseudoexfoliative glaucoma (PXG). Ma te ri al and Met hod: 13 eyes with PXG and 11 eyes with POAG, which had undergone trabeculectomy with mit C, were included to our prospective study. Cases with histories of any systemic vascular diseases and previous ocular surgeries were not included. The CMT was measured by spectral-domain optical coherence tomography (SD-OCT) before the surgery and at the first postoperative week and month. Pre-and postoperative values of both groups and the differences between the two groups were compared statistically by Mann-Whitney U and Wilcoxon signed rank tests. Re sults: The means of CMT at the first postoperative week and month were statistically significantly higher than the preoperative values in both POAG and PXG groups (POAG: 1st week p=0.0090, 1st month p=0.0086; PXG: 1st week p=0.0023, 1st month p=0.0050). However, no statistically significant differences were found between the changes of preoperative and postoperative mean CMT values between the two groups (1st week p=0.4326, 1st month p=0.5028). Dis cus si on: In spite of the increases in CMT at the 1st week and month of trabeculectomy with mit C in POAG and PXG, no significant differences were detected between the changes of CMT between the two groups. Based on the fact that more inflammation and higher decrease in intraocular pressure might be seen in PXG than POAG postoperatively, further investigations with great number of cases are planned. (Turk J Ophthalmol 2012; 42: 1-4)
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spelling doaj.art-5ebfd422107a4b8885d2898353c679922023-02-15T16:16:24ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612012-01-014211410.4274/tjo.42.58077Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative GlaucomaUfuk Elgin0Emine Şen1Hakan Tırhış2S.B. Ulucanlar Göz Eğitim Hastanesi, Ankara, TürkiyeS.B. Ulucanlar Göz Eğitim Hastanesi, Ankara, TürkiyeS.B. Ulucanlar Göz Eğitim Hastanesi, Ankara, TürkiyeS.B. Ulucanlar Göz Eğitim Hastanesi, Ankara, TürkiyePur po se: To compare the effect of trabeculectomy with mitomycin C (mit C) on central macular thickness (CMT) in primary openangle glaucoma (POAG) and pseudoexfoliative glaucoma (PXG). Ma te ri al and Met hod: 13 eyes with PXG and 11 eyes with POAG, which had undergone trabeculectomy with mit C, were included to our prospective study. Cases with histories of any systemic vascular diseases and previous ocular surgeries were not included. The CMT was measured by spectral-domain optical coherence tomography (SD-OCT) before the surgery and at the first postoperative week and month. Pre-and postoperative values of both groups and the differences between the two groups were compared statistically by Mann-Whitney U and Wilcoxon signed rank tests. Re sults: The means of CMT at the first postoperative week and month were statistically significantly higher than the preoperative values in both POAG and PXG groups (POAG: 1st week p=0.0090, 1st month p=0.0086; PXG: 1st week p=0.0023, 1st month p=0.0050). However, no statistically significant differences were found between the changes of preoperative and postoperative mean CMT values between the two groups (1st week p=0.4326, 1st month p=0.5028). Dis cus si on: In spite of the increases in CMT at the 1st week and month of trabeculectomy with mit C in POAG and PXG, no significant differences were detected between the changes of CMT between the two groups. Based on the fact that more inflammation and higher decrease in intraocular pressure might be seen in PXG than POAG postoperatively, further investigations with great number of cases are planned. (Turk J Ophthalmol 2012; 42: 1-4)http://www.oftalmoloji.org/article_2114/Comparison-Of-The-Effect-Of-Trabeculectomy-With-Mitomycin-C-On-Macular-Thickness-In-Primary-Open-angle-Glaucoma-And-Pseudoexfoliative-GlaucomaPrimary open-angle glaucomapseudoexfoliative glaucomacentral macular thicknesstrabeculectomyoptical coherence tomography
spellingShingle Ufuk Elgin
Emine Şen
Hakan Tırhış
Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
Türk Oftalmoloji Dergisi
Primary open-angle glaucoma
pseudoexfoliative glaucoma
central macular thickness
trabeculectomy
optical coherence tomography
title Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
title_full Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
title_fullStr Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
title_full_unstemmed Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
title_short Comparison of the Effect of Trabeculectomy with Mitomycin C on Macular Thickness in Primary Open-Angle Glaucoma and Pseudoexfoliative Glaucoma
title_sort comparison of the effect of trabeculectomy with mitomycin c on macular thickness in primary open angle glaucoma and pseudoexfoliative glaucoma
topic Primary open-angle glaucoma
pseudoexfoliative glaucoma
central macular thickness
trabeculectomy
optical coherence tomography
url http://www.oftalmoloji.org/article_2114/Comparison-Of-The-Effect-Of-Trabeculectomy-With-Mitomycin-C-On-Macular-Thickness-In-Primary-Open-angle-Glaucoma-And-Pseudoexfoliative-Glaucoma
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AT eminesen comparisonoftheeffectoftrabeculectomywithmitomycinconmacularthicknessinprimaryopenangleglaucomaandpseudoexfoliativeglaucoma
AT hakantırhıs comparisonoftheeffectoftrabeculectomywithmitomycinconmacularthicknessinprimaryopenangleglaucomaandpseudoexfoliativeglaucoma