One-year results of stab incision glaucoma surgery and radiofrequency-assisted stab incision in management of open-angle glaucoma

Autor:	Omar Mohamed El-Zawahry, Mohamed K. Elbasty, Marwa M. Salama, Rehab Mahmoud Abdel-Hamid
Rok vydání:	2019
Předmět:	Male medicine.medical_specialty Intraocular pressure Intraoperative Complication Visual acuity genetic structures Open angle glaucoma medicine.medical_treatment Visual Acuity open-angle glaucoma Glaucoma Trabeculectomy Tonometry Ocular radiofrequency Glaucoma surgery Humans Medicine Prospective Studies Intraocular Pressure business.industry stab incision glaucoma surgery Postoperative complication General Medicine Middle Aged Radiofrequency Therapy medicine.disease eye diseases Surgery Ophthalmology Ostium Treatment Outcome mitomycin-C Female Original Article sense organs medicine.symptom business Glaucoma Open-Angle
Zdroj:	Middle East African Journal of Ophthalmology
ISSN:	0974-9233
DOI:	10.4103/meajo.meajo_153_18
Popis:	PURPOSE: The aim of the study is to evaluate the surgical outcome of stab incision glaucoma surgery (SIGS) and compare it with radiofrequency-assisted stab incision in the treatment of uncontrolled open-angle glaucoma. PATIENTS AND METHODS: A prospective, interventional study included 50 eyes who were assigned into two equal groups: Group A underwent stab incision procedure with preoperative subconjunctival (SC) mitomycin-C (MMC) and Group B underwent radiofrequency-assisted technique without MMC. Intraoperative and postoperative complications, visual acuity, intraocular pressure (IOP), and bleb status were evaluated up to 12 months. RESULTS: Mean preoperative IOP in Group A was 26.96 ± 2.42 reduced to 13.43 ± 2.31 while in Group B was 27.20 ± 3.57 reduced to 15.48 ± 3.68 mmHg (P < 0.001) with a mean reduction of 50.61% ± 8.42% and 43.56% ± 12.83%, 12 months postoperatively in Groups A and B, respectively. Non-basal peripheral iridectomy was the most encountered intraoperative complication in 8 eyes (32%) and 9 eyes (36%) and hypotony was the most reported postoperative complication in 5 eyes (20%) and 9 eyes (36%) in Groups A and B, respectively. Flat bleb area had been reported at the end of follow-up time in 3 eyes (13%) and 7 eyes (30%) in Groups A and B, respectively. Complete success rate was 52.2% and 28.6% while qualified success rate was 28.8% and 42.9% in Groups A and B, respectively. CONCLUSION: SIGS with SC MMC is an effective and safe procedure in IOP lowering, while radiofrequency-assisted stab incision had high incidence of subconjunctival scarring and ostium closure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3a5543d2dd4b70ae1251ad8e64ee9851 https://doi.org/10.4103/meajo.meajo_153_18 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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