Comparison of trabeculectomy and trabeculectomy with amniotic membrane transplantation in the same patient with bilateral glaucoma

Autor: Qing-Shan Ji, Bing Qi, Lian Liu, Wei Lao, Zhi-Hao Yang, Gui-Fang Wang, Guo-Cheng Yu, Jing-Xiang Zhong
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: International Journal of Ophthalmology, Vol 6, Iss 4, Pp 448-451 (2013)
Druh dokumentu: article
ISSN: 2222-3959
2227-4898
DOI: 10.3980/j.issn.2222-3959.2013.04.07
Popis: AIM: To observe effects of trabeculectomy with amniotic membrane transplantation (AMT) in controlling postoperative intraocular pressure (IOP) in patients with medically uncontrolled glaucoma.METHODS:This study included adult patients with requiring bilateral glaucoma surgery. Each patient underwent trabeculectomy (Non-AMT group) in one eye and with AMT (AMT group) in the other eye according to randomized principle. Success was defined as intraocular pressure (IOP)RESULTS: Thirty-four eyes of 17 patients were investigated in this study. There was no statistically signifcant difference in pre-operative IOP between the two groups. The mean IOP was lower in AMT group compared with Non-AMT group on follow up months 12, 18, and 24.Postoperative complications were more frequent in Non-AMT group (35.3%, 6/17) compared with AMT group (5.9%, 1/17). The success rate of surgery was 88.2% (15/17) in Non-AMT group and 100% (17/17) in AMT group.CONCLUSION: Trabeculectomy with AMT is an effective procedure to reduce IOP and complications, thereby improving surgical success rates.
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