Stab incision mitomycin C‑assisted rapid trabeculectomy: A ‘SMART’ trabeculectomy alternative

Terzidou, Chryssa; Trivli, Alexandra; Dalianis, Georgios

doi:10.3892/etm.2020.8852

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…The disadvantages of this technique include subconjunctival bleeding because it is not available to do cautery, and this can be avoided by stopping the anti-platelets for a su cient duration for the patients using it. In addition, choosing the place of the incision away from seen conjunctival and scleral vessels [11] .…”

Section: Discussionmentioning

confidence: 99%

The effect of Stab incision glaucoma filtering surgery on Intraocular pressure in primary angle closure glaucoma

Mohamed

Murad

Ghalwash

et al. 2022

Preprint

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Objective: The current study aims to evaluate the stab incision trabeculectomy technique on the intraocular pressure in primary angle closure glaucoma patients. Subjects and methods: this study included 24 cases with an indication for glaucoma surgery with the stab incision technique; superior subconjunctival injection of 0.1 ml of 0.02% mitomycin C (MMC) a stab incision was done through the conjunctiva; a scleral tunnel was created just 2.5 mm posterior to the limbus toward the cornea by a 2.8 mm keratome, A Kelly's punch was introduced through the tunnel into the A.C. the posterior lip of the corneal section was punched backwards till the limbus, additional punches were done to settle the tunnel then the iris was grasped and excised by curved Vannas scissors performing a peripheral iridotomy. IOP was measured by the Goldmann applanation tonometer preoperatively and in the follow-up on the first day, the seventh day, the first month, the third month and the sixth month. Results: The preoperative mean intraocular pressure was 28 mmHg (SD 5.1). Mean Postoperative IOP on the first day, third day, first week, first month, third month, and the sixth month was (9.5 mmHg (SD 5.1), 10.9 mmHg (SD 3.1),13.2 mmHg (SD 3.7), 15.5 mmHg (SD 5.5),15 mmHg (SD 4) and 14.3 mmHg (SD 2.4) respectively). In postoperative titrations among the studied cases, 8 (33.3%) cases required needling, which was statistically significant. (P value 0.025 %). 11 (45.8 %) cases required massage, which was statistically significant. (P value 0.000 %). 4 (16.7 %) cases required surgery, which was statistically significant. (P value 0.004 %). 6 (25 %) cases required anti-glaucoma drops, which was statistically significant. (P value 0.021 %). Hyphemia occurred in 1 case (4.2 %) of cases. Conclusion: Stab incision technique was a safe and quick alternative to conventional trabeculectomy. IOP control with fewer complications was observed during the first six months of follow‑up; mean Intraocular pressure was ~14 mmHg.

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Section: Discussionmentioning

confidence: 99%

The effect of Stab incision glaucoma filtering surgery on Intraocular pressure in primary angle closure glaucoma

Mohamed

Murad

Ghalwash

et al. 2022

Preprint

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Long-term outcome of stab incision glaucoma surgery versus trabeculectomy surgery in the management of primary open angle glaucoma

Ebeid

latif

Mousa

et al. 2023

Journal of the Egyptian Ophthalmological Society

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Purpose To assess the long-term outcome of Stab incision glaucoma surgery (SIGS) and compare it with subscleral trabeculectomy (SST) in the management of open-angle glaucoma (OAG). Methods Twenty eyes of 20 OAG patients were randomly assigned into group 1: 10 patients underwent SIGS + Mitomycin C (MMC), and group 2: 10 patients underwent SST + MMC. The patients were followed-up over 2 years after surgery. Our outcome measures were: Postoperative intraocular pressure IOP, number of medications used, and postoperative complications. Results Twenty-four months postoperatively, the mean IOP was 13.78±2.05 mmHg in the SIGS group compared with preoperative IOP of 26.33±5.1 mmHg (P <0.001, paired t-test), and 14.38±4.56 mmHg in SST group compared with preoperative IOP of 30.13±7.51 mmHg (P <0.001, paired t-test). No significant differences in mean IOP between groups either preoperatively (P=0.15) or along follow-up (P=0.62 at last visit). The mean IOP drop from baseline was 12.56±5.00 mmHg (46.33±10.50%) in SIGS group and 15.75±8.22 mmHg (49.50±17.95%) in SST group (P=0.26). A significant decrease in the number of glaucoma medications was noted in the SIGSS group (P <0.001), in the SST group, the number decreased but was not statistically significant (P =0.120). Conclusion SIGS is comparable with SST in achieving long-term significant and maintained IOP reduction over up to 2 years, in addition to decreasing the number of antiglaucoma medications postoperatively. SIGS is recommended for surgical management of primary OAG as it has the advantage of being a faster, easier, less traumatic alternative to conventional SST with fewer complications.

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Stab incision mitomycin C‑assisted rapid trabeculectomy: A ‘SMART’ trabeculectomy alternative

Cited by 2 publications

References 29 publications

The effect of Stab incision glaucoma filtering surgery on Intraocular pressure in primary angle closure glaucoma

The effect of Stab incision glaucoma filtering surgery on Intraocular pressure in primary angle closure glaucoma

Long-term outcome of stab incision glaucoma surgery versus trabeculectomy surgery in the management of primary open angle glaucoma

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