Posters

New suturing technique in trabeculectomy

Poster Details

First Author: M.Afroozifar IRAN

Co Author(s):    M. Pakravan   S. Yazdani                 

Abstract Details

Purpose:

Comparison of the results of trabeculectomy in two groups of patients who were operated by new suturing technique of Dr. Afroozifar(A.F.Suture) and the conventional trabeculectomy

Setting:

Khodadoust EYE Hospital,SHIRAZ,IRAN

Methods:

18 patients with closed angle glaucoma(CACG) who underwent conventional phaco-trabeculectomy(group A) were compared with 12 patients with (CACG) who had phaco-trabeculectomy using the new suturing technique of Dr.Afroozifar(A.F.Suture)(group B) for 4.5 years .Groups compared based on the amount of post-operative mean intra ocular pressure(IOP), need for releasable suture removal (RSR), the need for re-opening the trabeclectomy path(needling), and the need for a second surgical procedure for choroidal tap.Pre-operation mean (IOP) in group A was 28.3 mmHg with a mean of 3.3 drops and the mean pre-operation(IOP) in group B was 30.2 mmHg with an average of 3.8 drops

Results:

After 4.5 years, the mean IOP in group A was 14.4 mmHg with a mean of 1.5 drops and the mean IOP in group B was 12.7 mmHg with an average of 1.2 drops. In 66.6%(12 patients) of group A,RSR required, but only in 41.6%(5 patientas) of group B RSR was needed. In 22.22%(4 patients) of group A, needling was needed to open the trabeculectomy duct, but only in 8.3%(1 patient) of group B needlin was needed. The need for AF suture removal was 25%(3patients) in group B and choroidal tap in both groups was only One patient.

Conclusions:

The new suturing technique of Dr.Afroozifar(A.F.Suture)creates a better trabeclectomy outlet and has better result in filtering glaucoma surgery.

Financial Disclosure:

None