Comparative study of trabeculectomy using single sutures versus releasable sutures

Matlach, Juliane; Hoffmann, Niels; Freiberg, Florentina Joyce; Grehn, Franz; Klink, Thomas

doi:10.2147/opth.s32503

Cited by 10 publications

(6 citation statements)

References 21 publications

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“…It includes single sutures cut with laser lysis, 32 sutures released by corneal incision, 24,27 or sutures that can be transconjunctivally adjusted. 30,33,34…”

Section: Discussionmentioning

confidence: 99%

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Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach

Kumar¹,

Parveen²,

Chauhan³

2019

Ophthalmol Eye Dis

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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.

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“…It includes single sutures cut with laser lysis, 32 sutures released by corneal incision, 24,27 or sutures that can be transconjunctivally adjusted. 30,33,34…”

Section: Discussionmentioning

confidence: 99%

“…The midterm probability of success and percentage reduction in IOP is comparable with other studies. 33,34 Aykan et al reported 92% success after laser suture lysis of single sutures. 23 This study also reported 94% success probability after trabeculectomy using simplified single scleral suture technique without suture lysis.…”

Section: Discussionmentioning

confidence: 99%

Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach

Kumar¹,

Parveen²,

Chauhan³

2019

Ophthalmol Eye Dis

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“…However, in our modification, the tight sutures are applied anteriorly, facilitating lysis of these sutures compared to posterior, deeper sutures. 45,46 Some of the popular methods recommend application of mitomycin-C after the scleral flap is made. They claim to have found scar tissue in the subscleral space upon re-exploration.…”

Section: Discussionmentioning

confidence: 99%

Ahmad’s modified trabeculectomy technique

Ahmad

2019

Asian JO

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Aim or purpose: To present a modified technique of trabeculectomy. Design: Ahmad’s modified trabeculectomy technique aims to utilize subtle modifications to the classical trabeculectomy technique in order to achieve a better filtering bleb leading to lesser complications. Methods: Retrospective interventional case series. Results: Thirty-four patients underwent this surgery. There was a significant difference in the preoperative and postoperative median intraocular pressure (IOP; z = 3.928; p < 0.001). The postoperative IOP (median = 12) was significantly lower than the preoperative IOP (median = 28; interquartile range = 9). Conclusion: This modification can prove to be an effective method to reduce IOP with minimal complications.

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“…Trabeculectomy is the most performed glaucoma surgery and considered as the gold standard [1]. Glaucoma and cataract frequently coexist.…”

Section: Introductionmentioning

confidence: 99%

Intraocular Pressure Reduction and Complications Profile of Trabeculectomy with 5 Fluorouracil Versus Phaco-trabeculectomy with 5 Fluorouracil in Nigerian Glaucoma Patients

Ogunro¹,

Nathaniel

2021

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Aims: To evaluate the surgical outcome of combined phacoemulsification cataract surgery plus posterior chamber intraocular and trabeculectomy with adjunctive 5-Fluorouracil versus trabeculectomy with 5-Fluorouracil in the management of Primary open angle glaucoma. Study Design: it was retrospective comparative interventional study Place and Duration of Study: Glaucoma Unit, Eye foundation Hospital Ikeja, Lagos, Nigeria between January 2015, and December 2017 Materials and Methods: A retrospective review of consecutive 29 eyes (29 patients) who had trabeculectomy with 5-Fluorouracil compared with 26 eyes (26 patients) who had combined phacotrabeculectomy with 5-Fluorouracil from 2015 to 2017. All patients had a minimum follow up of 3 months. Results: The mean age of 54.48±14.42 years in Trabeculectomy group was significantly (p>0.001) lower than 70.76±7.22 years for the Phacotrabeculectomy group. The mean preoperative intraocular pressure (IOP) and number of glaucoma medication were similar for the two groups (19.86±9.63mmHg versus 22.23±8.99mmHg; 2.66±1.20 versus 2.73±0.72 medication, trabeculectomy versus phacotrabeculectomy respectively). The postoperative IOP and glaucoma medication after a mean follow up period of 17.11±9.81 months was not significantly different between the two groups (11.55±2.71mmHg versus 12.31±4.33mmHg, p=0.436 for trabeculectomy versus phacotrabeculectomy respectively). Both groups significantly required fewer number of antiglaucoma medication at final follow-up (1.14±0.92 vs 1.46±1.10, trabeculectomy vs phacotrabeculectomy. In the trabeculectomy group, 25 (86.2%) had IOP of ≤15mmHg with or without topical antiglaucoma drops. In the phacotrabeculectomy, 21 (80.76%) had IOP of ≤15mmHg with or without topical antiglaucoma medication (Qualified success). On the other hand, 8 (27.58%) had IOP of ≤15mmHg without topical antiglaucoma medication at the end of the follow-up in the trabeculectomy (Complete success). In the phacotrabeculectomy group, 5 (19.23%) had final IOP of ≤15mmHg without topical antiglaucoma medication. Few complications occurred in both groups. Conclusion: Phacotrabeculectomy augmented with 5-Fluorouracil gave comparable surgical success to 5-Fluorouracil augmented trabeculectomy alone.

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Comparative study of trabeculectomy using single sutures versus releasable sutures

Cited by 10 publications

References 21 publications

Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach

Midterm outcome of single scleral suture technique in trabeculectomy and phacotrabeculectomy: a simplified approach

Ahmad’s modified trabeculectomy technique

Intraocular Pressure Reduction and Complications Profile of Trabeculectomy with 5 Fluorouracil Versus Phaco-trabeculectomy with 5 Fluorouracil in Nigerian Glaucoma Patients

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