Releasable suture technique for trabeculectomy

Details

Serval ID
serval:BIB_56AA61D8E7C8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Releasable suture technique for trabeculectomy
Journal
Indian Journal of Ophthalmology
Author(s)
Thomas  R., Jacob  P., Braganza  A., Mermoud  A., Muliyil  J.
ISSN
0301-4738 (Print)
Publication state
Published
Issued date
03/1997
Volume
45
Number
1
Pages
37-41
Notes
Comparative Study
Journal Article --- Old month value: Mar
Abstract
A retrospective review of 154 trabeculectomies with releasable sutures was performed to assess the effect of suture release on intraocular pressure (IOP) at various postoperative periods. Release of the suture was necessary in 38% of cases. The immediate reduction in IOP was significant (p < 0.01) when the suture was released during the first three postoperative weeks. Seventy percent of eyes had a reduction in IOP more than 5 mmHg if released within the first week compared to 20% after the third week. With suture release after the third postoperative week, there was no clinically significant decrease in IOP. The decrease in IOP was similar in eyes undergoing trabeculectomy alone or when cataract extraction through a separate corneal incision was undertaken simultaneously. The period during which release of suture was effective was not prolonged by use of antimetabolites. Complications included a typical windshield-wiper keratopathy (18 eyes), failure to release the suture (13 eyes), epithelial abrasion (6 eyes) and a sub-conjunctival bleed (1 eye).
Keywords
Cataract Extraction Follow-Up Studies Glaucoma/physiopathology/*surgery Humans Intraocular Pressure/physiology Intraoperative Period Postoperative Complications Postoperative Period Retrospective Studies *Suture Techniques Trabeculectomy/*methods Treatment Outcome
Pubmed
Create date
28/01/2008 12:49
Last modification date
20/08/2019 14:10
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