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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.

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