Nonpenetrating deep sclerectomy versus trabeculectomy in bilateral primary open- angle glaucoma11The authors have no proprietary or financial interest in any product of this study
| Autor: | Magdi Helal, Hazem El-Kholify, Akef El-Maghraby, Mohamed Khalil, Fathi El Sayyad |
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| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity genetic structures Open angle glaucoma business.industry medicine.medical_treatment Eye disease Glaucoma medicine.disease Deep sclerectomy eye diseases Surgery law.invention Ophthalmology Randomized controlled trial law medicine Trabeculectomy sense organs medicine.symptom business |
| Zdroj: | Ophthalmology. 107:1671-1674 |
| ISSN: | 0161-6420 |
| Popis: | Objective To establish the efficacy and safety of nonpenetrating deep sclerectomy versus trabeculectomy in primary open-angle glaucoma. Design Prospective randomized trial. Participants Thirty-nine patients (78 eyes) with bilateral primary open angle glaucoma were included in the study. Intervention Eyes were randomly assigned to receive deep sclerectomy in one eye and trabeculectomy in the other eye. Main outcome measures Mean intraocular pressure (IOP), postoperative medications, visual acuity, success rate, and complications. Results At 12 months, mean IOP reduction was 12.3 ± 4.2 (sclerectomy) versus 14.1 ± 6.4 mmHg (trabeculectomy) ( P = 0.15), and an IOP ≤ 21 mmHg was achieved in 36 (92.3%) and 37 eyes (94.9%) ( P = 0.9), respectively. Complications included three (7.7%) flat/shallow anterior chambers and one (2.6%) hypotony (trabeculectomy), whereas internal iris incarceration was encountered in two eyes (5.1%) (sclerectomy). Conclusions Deep sclerectomy may provide comparable IOP reduction with fewer complications in management of primary open angle glaucoma. |
| Databáze: | OpenAIRE |
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