Management of complications in glaucoma surgery

Vijaya, Lingam; Panday, Manish; George, Ronnie; Balekudaru, Shantha

doi:10.4103/0301-4738.73689

Cited by 54 publications

(64 citation statements)

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“…We tried to salvage the failing bleb with 5-fluorouracil subconjunctival injections with or without needling of the bleb depending on the extent of the scarring as advised by Vijaya et al . [9]…”

Section: Discussionmentioning

confidence: 99%

Study of efficacy and timing of laser suture lysis in reducing intraocular pressure after trabeculectomy with mitomycin-C

et al. 2016

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Context:Laser suture lysis is used to enhance filtration after trabeculectomy.Aims:The aim of this is to evaluate the change in intraocular pressure (IOP) after laser suture lysis after trabeculectomy with mitomycin-C and to correlate the efficacy of suture lysis in relation to the time of lysis.Settings and Design:Prospective interventional study of seventy eyes of seventy patients.Subjects and Methods:Trabeculectomy with mitomycin-C was performed for 352 patients with glaucoma. Laser suture lysis was carried out when indicated for seventy patients during 2nd–8th week posttrabeculectomy. Primary outcome measures were IOP at immediate postsuture lysis, 1, 2, 4, 6, and 8 weeks, 3 and 6 months following laser suture lysis. For the purpose of statistical analysis, patients were divided into three groups depending on the week of suture lysis as <3 weeks, 3rd–5th week, and >5 weeks posttrabeculectomy and 21 mmHg was used as the cutoff for the achievement of target IOP.Statistical Analysis Used:Descriptive statistical analysis has been carried out. Significance is assessed at 5% level of significance. Student's t-test (two-tailed, independent) has been used to find the significance of study parameters on continuous scale between two groups. Chi-square/Fisher exact test has been used to find the significance of study parameters on categorical scale between two or more groups.Results:On immediate postsuture lysis, 62 patients (88.6%) had IOP of <21 mmHg which increased to 68 patients (98.6%) at the end of 6 months postsuture lysis. When laser suture lysis was performed during 3rd–5th week posttrabeculectomy, 34 patients (73.9%) achieved the target IOP.Conclusions:Laser suture lysis during 3rd–5th week posttrabeculectomy with mitomycin-C is an effective and safe technique for reducing IOP.

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Section: Discussionmentioning

confidence: 99%

Study of efficacy and timing of laser suture lysis in reducing intraocular pressure after trabeculectomy with mitomycin-C

et al. 2016

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“…Diffuse Filtering bleb formation is seen in all cases in the immediate post-operative period as quoted in the literature. 10 Reduction of mean IOP by 5.7 mm of Hg (22%) in the patients who underwent single site surgery compared to a reduction of 5.2 mm of Hg (20%) in two site procedure. 10% more reduction in IOP achieved in a single site surgery.…”

Section: Discussionmentioning

confidence: 94%

“…9 Filtering bleb on the immediate post-operative day was observed in 5 patients (33.33%) in two site surgery compared to 9 patients (60%) in single site surgery. 10 Filtering bleb formation subsequently occurred in all the patients in the next few days following the first postoperative period. 10…”

Section: Discussionmentioning

confidence: 95%

Single Site Combined Small Incision Cataract Surgery and Trabeculectomyanalysis of Outcome and Benefits at Government Tiruvarur Medical College

Rengaraj¹,

Veerasamy²

2019

jebmh

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BACKGROUNDCataract and Primary Open Angle Glaucoma (POAG) are the leading causes of painless progressive loss of vision in the world. Surgery is the most productive and cost-effective treatment for patients suffering from Cataract and POAG. As the incidence and prevalence of Cataract with POAG is on the rise, the requirement of more skilful surgeons specialized in combined surgery is the need of the hour.The objectives of this study were-1) to develop a simple and effective technique in surgical treatment for cataract and glaucoma. 2) to make it easier to transform from being a cataract surgeon alone to a combined cataract and glaucoma surgeon.3) To compare the outcome of single site cataract surgery and trabeculectomy over two site surgery. MATERIALS AND METHODSOver two-years period, 30 patients diagnosed as cataract with primary open angle glaucoma underwent single site or two site combined small incision cataract surgery and trabeculectomy and were subjected to IOP measurement before and after surgery. The mean Intraocular pressure before and after surgery was compared to arrive at the results. Intra-operative and immediate post-operative complications are noted. Filtering bleb formation is noted. RESULTSReduction of mean IOP by 5.7 mmHg (22%) in the single site surgery group compared to simple trabeculectomy and two site surgery was seen. No significant intra-operative and post-operative complications were experienced in single site surgery. Filtering bleb formation is seen in all cases who underwent single site surgery in the immediate post-operative period. CONCLUSIONThe single site combined small incision cataract surgery and trabeculectomy is an effective, easier and less time-consuming technique that can be mastered by every sutureless cataract surgeon.

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“…But wound healing at the conjunctival and episcleral plane is a limiting factor for the success of trabeculectomy. 12 The conjunctiva shares many features of repair with skin. The initial processes involved in healing are inflammation and coagulation, leading to a cascade of biological events including cellular, hormonal, and growth factor release.…”

Section: Discussionmentioning

confidence: 99%

Modulation of Postoperative Scarring with Tacrolimus and Octreotide in Experimental Glaucoma Filtration Surgery

Arslan

Aydemir

Güler³

et al. 2012

Current Eye Research

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Management of complications in glaucoma surgery

Cited by 54 publications

References 54 publications

Study of efficacy and timing of laser suture lysis in reducing intraocular pressure after trabeculectomy with mitomycin-C

Study of efficacy and timing of laser suture lysis in reducing intraocular pressure after trabeculectomy with mitomycin-C

Single Site Combined Small Incision Cataract Surgery and Trabeculectomyanalysis of Outcome and Benefits at Government Tiruvarur Medical College

Modulation of Postoperative Scarring with Tacrolimus and Octreotide in Experimental Glaucoma Filtration Surgery

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