The Effect of Sodium Hyaluronate on the Outcome of Trabeculectomy

Raitta, Christina; Vesti, Eija

doi:10.1007/978-3-642-76084-6_35

Cited by 10 publications

(12 citation statements)

References 6 publications

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“…In the remaining 4 eyes the previous surgical management was trabeculectomy. .............................................................................. The complication rate was quite low and is comparable to the results previously reported from this clinic (Raitta & Vesti 1991). Additional surgery was needed only in one eye (previously treated by ICCE and later TRA), in which a suprachoroidal effusion existed.…”

Section: Discussionsupporting

confidence: 88%

Trabeculectomy at the inferior limbus

Vesti

Raitta

1992

Acta Ophthalmologica

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Fourteen eyes (12 with open-angle glaucoma and 2 with secondary glaucoma) of 14 patients were operated by trabeculectomy at the inferior limbus. The surgical technique is described and results of 6-12 months follow-up are reported. Complication rate was reasonably low. Early postoperative IOP higher than 30 mmHg occurred in one eye where a blood clot and sodium hyaluronate obstructed filtration of aqueous. Postoperative mean IOP was 16.3 mmHg (6-29 mmHg) in 13 eyes at 3 months, 17.1 mmHg (13-26 mmHg) in 12 eyes at 6 months and 20.1 mmHg (11-31 mmHg) in 12 eyes at 12-16 months. Three eyes had follow-up of 19-21 months and corresponding IOPs were 14, 15 and 22 mmHg. IOP was less than 22 mmHg in 10/12 eyes at 6 months and in 8/12 eyes at 12-16 months. 6/12 eyes managed without medication at 6 months and 2/12 eyes at 12-16 months. Trabeculectomy at inferior limbus is a safe procedure and it is recommended as a surgical procedure in eyes after previous cataract surgery.

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Section: Discussionsupporting

confidence: 88%

Trabeculectomy at the inferior limbus

Vesti

Raitta

1992

Acta Ophthalmologica

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“…The incidence of exfoliation syndrome also increases with age (Forsius 1988). Increased lens opacification has been suggested to be associated with the exfoliation syndrome (Taylor 1979;Hiller et al 1982) and with capsular glaucoma (Layden & Schaffer 1974;Roth & Epstein 1980;Raitta & Vesti 1991). In unilateral cases of the syndrome, contradictory conclusions have been drawn (Tarkkanen 1962;Rouhiainin & Terasvirta 1992).…”

mentioning

confidence: 99%

Lens opacity in unilateral exfoliation syndrome with or without glaucoma

Puska

1994

Acta Ophthalmologica

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The exfoliation syndrome as a risk factor for lens opacification was investigated with pairwise comparisons of lens opacity, visual acuity, refraction, and anterior chamber depth in 126 eyes of 63 patients with unilateral exfoliation syndrome, and in 84 eyes of 42 patients with unilateral capsular glaucoma. As compared with fellow eyes, the exfoliative eyes showed poorer visual acuity (p < 0.05) and more frequent occurrence of subcapsular cataract (2% vs 8%). Compared with the fellow eyes the lenses in the capsular glaucomatous eyes were more opaque, whether without pilocarpine (p < 0.05), or with pilocarpine treatment (p < 0.0001). Visual acuity was poorer (p < 0.01), refraction more myopic (p < 0.05), and anterior chamber depth less (p < 0.05) in the capsular glaucomatous eyes with pilocarpine treatment. Thus, there are slight changes in the lenses of the exfoliative eyes, the cataractous lens changes being more advanced in the capsular glaucomatous eyes.

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“…ExG is known to respond well to trabeculectomy, although the success rate decreases with time (Jerndal & Kriisa 1974;Törnqvist & Drolsum 1991;Raitta & Vesti 1991;Konstas et al 1993). Both history of trabeculectomy and weighted mean IOP reached statistical significance in the multivariate analysis.…”

Section: Discussionmentioning

confidence: 95%