Combined Trabeculotomy-Trabeculectomy Versus Trabeculectomy for Treatment of Silicone Oil-induced Ocular Hypertension
| Autor: | Tarek Ahmed El Maamoun, Hisham Samy Shalaby |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures Adolescent medicine.medical_treatment Mitomycin Ocular hypertension Glaucoma Vitrectomy Trabeculectomy law.invention chemistry.chemical_compound Tonometry Ocular Silicone Randomized controlled trial law Ophthalmology medicine Humans Silicone Oils Intraocular Pressure business.industry medicine.disease Trabeculotomy eye diseases Silicone oil Treatment Outcome chemistry sense organs business Follow-Up Studies |
| Zdroj: | Journal of glaucoma. 30(2) |
| ISSN: | 1536-481X |
| Popis: | PRCIS Combined trabeculotomy-trabeculectomy (CTT) has a significantly better hypotensive effect than trabeculectomy and a higher success rate in cases of silicone oil-induced ocular hypertension. PURPOSE To compare the ocular hypotensive effect of CTT with mitomycin-C (MMC) to that of trabeculectomy with MMC in cases of silicone oil-induced ocular hypertension. PATIENTS AND METHODS Thirty eyes of 30 patients with high intraocular pressure (IOP) after vitrectomy and silicone oil injection (followed by silicone oil removal) were randomly allocated to 2 groups in this randomized trial. Group A was composed of 15 cases who underwent combined CTT with MMC while group B cases contained 15 cases undergoing trabeculectomy with MMC. Patients were followed up for 12 months. We included patients above 18 years old, having performed vitrectomy and silicone oil injection followed by oil removal, and having IOP >21 mm Hg uncontrollable by antiglaucoma medications. RESULTS The postoperative IOP drop was significantly greater in group A than in group B at all follow up visits (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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