| Popis: |
Introduction: Glaucoma is a chronic multifactorial degenerative optic neuropathy and is the second leading cause of irreversible blindness worldwide. Material And Methods: 50 eyes of 50 patients of diagnosed glaucoma not controlled by maximal medical therapy underwent trabeculectomy adjuncted with subconjunctival Mitomycin C. Preoperative data included age, gender, IOP(intraocular pressure) and number of preoperative medications. Postoperatively IOP, number of glaucoma medications and postoperative complications if any were recorded on follow up at seven days, one month and three months. Results: Baseline characteristics were matched. Preoperative IOP was 33.23±8.41 mm of hg which drastically dropped to 14.67±5.78 mm of hg 3 months postoperatively. The need for postoperative antiglaucoma medications also dropped from 3.92±1.14 medications used preoperatively to 1.14±1.26 postoperatively. Success rate was 50% out of which 46% had complete success while 44% had qualied success. Postoperative complications seen were hypotony(14%), Flat AC(12%), Hyphema (6%), Flat Ac with raised IOP(2%), and Cystoid macular edema (2%). Discussion: In conclusion, this study shows that trabeculectomy with adjunctive MMC provides good patient outcome in the form of treatment success in 90% and reduced postoperative antiglaucoma medications in patients and is a good alternative to trabeculectomy alone. |
