| publication name | Corneal Trabeculectomy |
|---|---|
| Authors | Mohamed Hany Salem, Ayman Nassar, Abdalla Al Sawi, Mohamed Al Deeb and Mohamed Abd Rabo. |
| year | 1999 |
| keywords | corneal trabeculectomy |
| journal | BULL. OPHTHALMOL. SOC. EGYPT |
| volume | 92 |
| issue | 3 |
| pages | 657-660 |
| publisher | Ophthalmological Society of Egypt |
| Local/International | International |
| Paper Link | Not Available |
| Full paper | download |
| Supplementary materials | Not Available |
Abstract
Puropse: To evaluate a modified trabeculectomy technique for glaucoma filtering surgery through a clear corneal flap without performing a conjunctival incision. Methods: The procedure was performed on 27 glaucomatous eyes with uncontrolled TOP. A corneal flap 2 x 3 mm was raised and a sclera! pocket was dissected 2 to 3 mm posteriorly . The subconjunctival space was entered with a cystitome and a fragment of the floor of the scleral pocket was excised using a Kelly Descemet s membrane punch. The anterior chamber was entered at a limbal incision and iridectomy was performed. Corneal flap was closed with two separate 10-0 nylon sutures. Results: At 6 month the mean TOP decreased from 32.65mm Hg preoperatively to 12.93 mmHg. 88% of the eyes had an TOP less than or equal to 18 mm Hg without medication. Conclusion: Corneal trabeculectomy showed as a relatively as a traumatic filteration procedure producing diffuse persistent conjunctival blebs and adequate control of TOP.