Flap suture - a simple technique for the revision of hypotony maculopathy following trabeculectomy with mitomycin C

Eha, Judith; Wahl, Joachim; Pfeiffer, Norbert

doi:10.1007/s00417-007-0694-2

Cited by 35 publications

(29 citation statements)

References 17 publications

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“…Persistent symptomatic overfiltration was solved with transconjunctival compression sutures. 9 The need for additive topical IOP-lowering medication was also recorded.…”

Section: Patient Management and Surgerymentioning

confidence: 99%

Trabeculectomy With Moorfields Conjunctival Closure Technique Offers Safety Without Astigmatism Induction

Willekens

Pinto²,

Delbeke³

et al. 2016

Journal of Glaucoma

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“…Persistent symptomatic overfiltration was solved with transconjunctival compression sutures. 9 The need for additive topical IOP-lowering medication was also recorded.…”

Section: Patient Management and Surgerymentioning

confidence: 99%

Trabeculectomy With Moorfields Conjunctival Closure Technique Offers Safety Without Astigmatism Induction

Willekens

Pinto²,

Delbeke³

et al. 2016

Journal of Glaucoma

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“…[14][15][16] More recently, trans-conjunctival scleral flap sutures have been described as a way to control outflow without opening the bleb. 17 The goal is to increase the IOP to a point where the hypotony is resolved without sacrificing the original purpose of the trabeculectomy.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16] Although it is unclear if there is a specific time frame after which the visual changes become permanent, normalization of the IOP should be sought as soon as possible after signs of hypotony are seen. 15,17 In cases in which there is only overfiltration, various techniques are often implemented ranging from conservative to surgical. Aqueous suppressants, bandage contact lenses, or pressure patches are often tried early on.…”

Section: Discussionmentioning

confidence: 99%

Late Bleb Leak Management With Trabeculectomy Shutdown, Baerveldt Glaucoma Device Implantation, and Titratable Tube Lumen Size

Miller¹,

Tam²,

Ahmed³

2011

Journal of Glaucoma

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“…Until now, different methods have been described for adjustment of scleral flap tension and filtration [11,[29][30][31][32][33]. In our technique our objective was to improve the efficacy of trabeculectomy with the advantage of a potential space created by deep sclerectomy and we controlled the filtration rate by suture tension adjustment under drainage with an anterior chamber maintainer.…”

Section: Discussionmentioning

confidence: 99%

Trabeculectomy combined with deep sclerectomy and scleral flap suture tension adjustment under an anterior chamber maintainer: a new modification of trabeculectomy

2009

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The objective of this study was to investigate the efficacy and safety of trabeculectomy combined with deep sclerectomy in patients with primary open angled glaucoma (POAG) and to compare the results with those from conventional trabeculectomy. In the study 12 eyes of 10 patients operated with trabeculectomy combined with deep sclerectomy (Group I) and 16 eyes of 16 patients operated with conventional trabeculectomy surgery (Group II) were included. In the described form of combined deep sclerectomy with the trabeculectomy technique the superficial scleral flap was sutured with 10/0 monofilament, the number and tension of sutures were adjusted according to the outflow dynamics, under the scleral flap, of balanced salt solution (BSS) provided by an anterior chamber maintainer. In groups I and II all the patients were male POAG cases with mean ages of 60.0 +/- 19.4 and 67.0 +/- 7.1 years, respectively. The mean follow-up periods were 8.3 +/- 3.5 months for group I and 16.6 +/- 7.0 months for group II. Preoperative mean IOP were 29.7 +/- 8.3 and 29.1 +/- 12.8 mmHg mmHg, and average topical antiglaucomatous medications were 2.9 +/- 0.7 and 2.7 +/- 1.1 for groups I and II, respectively. Postoperatively mean IOP measurements were reduced in groups I and II to 10.5 +/- 2.9 vs. 9.6 +/- 4.8 mmHg at 1 week, 13.7 +/- 5.6 vs. 16.0 +/- 9.8 at 1st month, 12.3 +/- 6.4 vs. 17.3 +/- 8.0 at 3rd month, 11.0 +/- 4.1 vs. 15.3 +/- 5.8 at 6th month, 10.8 +/- 1.6 vs. 16.1 +/- 4.4 at 12th month, and 11.0 +/- 1.0 vs. 16.7 +/- 5.0 at 18th month. Statistical analysis revealed that mean postoperative IOP measurements for group I were significantly lower than for group II for all measurements except the first week (P < 0.05). At 12th month, the complete (IOP <22 mmHg without medication) and qualified (IOP <22 mmHg with medication) success rates were 83.3 and 100% for group I and 63.6 and 90.9% for group II. Postoperatively at 12th month, the mean number of antiglaucoma medications had fallen to 0.0 +/- 0.0 in group I and 0.81 +/- 1.1 in group II. Trabeculectomy surgery combined with deep sclerectomy and suture adjustment under an anterior chamber maintainer provided sufficient IOP decrease and diffuse bleb morphology. This technique could be used as a safe method for management of glaucoma.

show abstract

Flap suture - a simple technique for the revision of hypotony maculopathy following trabeculectomy with mitomycin C

Abstract: Resuturing the scleral flap through the intact conjunctiva is an effective and minimally invasive method to treat hypotony maculopathy following trabeculectomy with MMC. Thus, opening the conjunctiva can be avoided.

Cited by 35 publications

References 17 publications

Trabeculectomy With Moorfields Conjunctival Closure Technique Offers Safety Without Astigmatism Induction

Trabeculectomy With Moorfields Conjunctival Closure Technique Offers Safety Without Astigmatism Induction

Late Bleb Leak Management With Trabeculectomy Shutdown, Baerveldt Glaucoma Device Implantation, and Titratable Tube Lumen Size

Trabeculectomy combined with deep sclerectomy and scleral flap suture tension adjustment under an anterior chamber maintainer: a new modification of trabeculectomy

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