Outcomes of modified deep scleral trabeculectomy surgery under anterior chamber maintainer

Abstract

Objective: To evaluate patients monitored for glaucoma and operated with trabeculectomy combined with deep sclerectomy under an anterior chamber maintainer. Methods: In this retrospective study, fifteen eyes of 15 patients diagnosed with primary open angle glaucoma (POAG) who show up regularly for follow-up examinations between April 2006 and May 2010 were included in this study. Pre-operative/post-operative intraocular pressure (IOP) and the number of antiglaucomatous medications were evaluated. Results: The mean age was 64.6 ± 11.4 (33-80) years and the mean follow-up period was 22.4 ± 16.2 months (6-55). The mean pre-operative IOP was 24.6 ± 8.0 (12-40 mmHg), and the mean cup/disc (c/d) ratio was 0.71 ± 0. 25. According to the Hodapp classification, the mean damage in the visual field was 2.1 ± 0.9. Mean post-operative IOP at months 1, 12, and 24 was 13.2 ± 3.4, 13.6 ± 4.6 and 13.8 ± 2.8 mmHg, respectively. The average number of pre-operative antiglaucomatous medications was 3.1 whereas the average numbers of post-operative antiglaucomatous medications were 1.8, 0.6 and 0.8 respectively. Conclusion: Modified trabeculectomy has low rates of complication and results in a significant decrease in postoperative IOP, as well as the number of antiglaucomatous medications used. J Clin Exp Invest 2014; 5 (4): 544-547

Keywords

• Anterior chamber maintainer, deep sclerectomy, trabeculectomy

Outcomes of modified deep scleral trabeculectomy surgery under anterior chamber maintainer

Öz

Amaç: Glokom tanısı ile takip edilen ve ön kamara koruyucu altında derin skleral trabekülektomi operasyonu geçiren hastaların değerlendirilmesi. Yöntemler: Bu çalışmaya Nisan 2006 – Mayıs 2010 tarihleri arasında primer açık açılı glokom (PAAG) tanısı almış, düzenli olarak kontrollere gelen 15 hastanın 15 gözü dahil edildi. Çalışmada preoperatif ve postoperatif göz içi basıncı (GİB), kullanılan ilaç etken madde sayıları değerlendirildi. Bulgular: Yaş ortalaması 64,6 ± 11,4 (33-80) yıl, ortalama takip süresi 22,4 ± 16,2 ay (6-55) idi. Preoperatif ortalama GİB\'ları 24,6 ± 8,0 mmHg (12-40), ortalama cup/disk (c/d) oranı 0,71 ± 0,25 saptandı. Hastaların görme alanlarındaki hasar Hodapp sınıflamasına göre ortalama 2,1 ± 0,9 idi. Postoperatif 1. ay, 12. ay ve 24. ay ortalama GİB\'ları sırasıyla 13,2 ± 3,4, 13,6 ± 4,6 ve 13,8 ± 2,8 mmHg ölçüldü. Preoperatif kullanılan antiglokomatöz etken madde sayısı ortalama 3,1 iken, postoperatif ortalama sırasıyla 1,8, 0,6 ve 0,8 bulundu. Sonuçlar: Çalışmamızda modifiye trabekülektomi cerrahisi düşük komplikasyon oranları ile hastaların postoperatif GİB\'ında belirgin bir düşme sağlanmakta ve kullanılan ilaç sayısında belirgin bir azalmaya neden olmaktadır.

Anahtar Kelimeler

• Ön kamara koruyucu, derin sklerektomi, trabekülektomi

Kaynakça

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