The results of trabeculectomy using a sutureless scleral tunnel technique

Eslami, Yadollah; Fakhraie, Ghasem; Amini, Heydar; Zarei, Reza; Moghimi, Sasan; Rajabi, Mohammad Taher; Ghaffari, Reza

doi:10.1007/s10792-008-9240-4

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…An absolute success rate at 6 months was 90%. Our results were better than that reported by Lai JSM et al [7] and Yadollah Eslami et al [9] in their studies. Lai JSM et al [7] observed an absolute success rate of 79%.…”

Section: Discussioncontrasting

confidence: 87%

“…It is higher than that reported by Zaidi et al [10] (11.6%) and Yadollah Eslami. [11] in 2008, but lower than that reported by Lai JSM et al [7] (15.8%) and Yadollah Eslami et al [9] in 2009 (18%). Shallow anterior chamber was treated successfully with patching.…”

Section: Discussionmentioning

confidence: 65%

“…They reported mean IOP of 26.6±3.6 mmHg before surgery and 15.3±3 mmHg postoperatively at 1 year following trabeculectomy using sutureless scleral tunnel technique in cases of primary open angle glaucoma. Yadollah Eslami et al [9] in 2009 reported mean preoperative IOP of 29.29±8.22 mmHg, which fell to 15.00±3.862 mmHg at 6 months post-operatively following scleral tunnel technique with an absolute rate of 65%.…”

Section: Discussionmentioning

confidence: 99%

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The Results of Trabeculectomy Using a Sutureless Scleral Tunnel Technique

Angmo¹,

Ahangar²,

Dar³

et al. 2016

jemds

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

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The Results of Trabeculectomy Using a Sutureless Scleral Tunnel Technique

Angmo¹,

Ahangar²,

Dar³

et al. 2016

jemds

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“…Aqueous outflow was also directed through a single outflow channel instead of two- or three-sided flap as in conventional trabeculectomy, thus maintaining the patency of created fistula. [16] The simplicity in scleral tunnel creation reduced the operation time and flap-related complications, which was an important advantage of SIGS over conventional trabeculectomy that was also reported by Jacob et al . [6] In the present study, scleral tunnel was left sutureless and the small conjunctival incision was closed by maximum two interrupted 10-0 nylon sutures, so that the perioperative problems involving the conjunctival and scleral flap that had been thought to be responsible for the postoperative complications of trabeculectomy were nearly eliminated.…”

Section: Discussionmentioning

confidence: 78%

One-year results of stab incision glaucoma surgery and radiofrequency-assisted stab incision in management of open-angle glaucoma

Salama

Abdel-Hamid

Elbasty

et al. 2019

Middle East Afr J Ophthalmol

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PURPOSE:The aim of the study is to evaluate the surgical outcome of stab incision glaucoma surgery (SIGS) and compare it with radiofrequency-assisted stab incision in the treatment of uncontrolled open-angle glaucoma.PATIENTS AND METHODS:A prospective, interventional study included 50 eyes who were assigned into two equal groups: Group A underwent stab incision procedure with preoperative subconjunctival (SC) mitomycin-C (MMC) and Group B underwent radiofrequency-assisted technique without MMC. Intraoperative and postoperative complications, visual acuity, intraocular pressure (IOP), and bleb status were evaluated up to 12 months.RESULTS:Mean preoperative IOP in Group A was 26.96 ± 2.42 reduced to 13.43 ± 2.31 while in Group B was 27.20 ± 3.57 reduced to 15.48 ± 3.68 mmHg (P < 0.001) with a mean reduction of 50.61% ± 8.42% and 43.56% ± 12.83%, 12 months postoperatively in Groups A and B, respectively. Non-basal peripheral iridectomy was the most encountered intraoperative complication in 8 eyes (32%) and 9 eyes (36%) and hypotony was the most reported postoperative complication in 5 eyes (20%) and 9 eyes (36%) in Groups A and B, respectively. Flat bleb area had been reported at the end of follow-up time in 3 eyes (13%) and 7 eyes (30%) in Groups A and B, respectively. Complete success rate was 52.2% and 28.6% while qualified success rate was 28.8% and 42.9% in Groups A and B, respectively.CONCLUSION:SIGS with SC MMC is an effective and safe procedure in IOP lowering, while radiofrequency-assisted stab incision had high incidence of subconjunctival scarring and ostium closure.

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Sutureless tunnel trabeculectomy without peripheral iridectomy: a new modification of the conventional trabeculectomy

et al. 2012

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The purpose of this study was to describe the results of a new modification of the trabeculectomy technique, sutureless tunnel trabeculectomy without peripheral iridectomy (PI), in a group of patients with chronic open-angle glaucoma (COAG). Patients with uncontrolled COAG who were candidates for trabeculectomy underwent sutureless tunnel trabeculectomy without PI. Patients were examined before surgery and at 1, 3, 6 and 12 months after surgery. Pre- and post-operative data including intraocular pressure (IOP), visual acuity, number of anti-glaucoma medications and intraoperative and post-operative complications were recorded. Surgical success was defined as final IOP < 21 mmHg and > 20 % reduction from baseline (criterion A) and as final IOP < 18 mmHg and > 25 % reduction from baseline (criterion B), without further glaucoma surgery or complications that required returning the patient to the operating room. Success was further classified as complete when these criteria were obtained without medications and qualified with or without medical therapy. Eighteen eyes of 18 patients were recruited into the study. All patients had 6 months of follow-up and 15 patients (83.3 %) completed 12 months of follow-up. Mean (SD) age of the patients was 57.2 (5.7) years. Mean (SD) IOP decreased from 23.7 (4.5) mmHg pre-operatively to 14.7 (3.4) mmHg at final follow-up visit (p < 0.001), and the mean (SD) number of glaucoma medications decreased from 2.89 (0.32) pre-operatively to 1 (0.84) at last visit (p < 0.001). Post-operatively, IOP and number of glaucoma medications were decreased in comparison with baseline at all follow-up visits (p < 0.001 for all visits). Qualified and complete surgical success rates were 78 and 50 % for criterion A, and 72 and 50 % for criterion B. Sutureless tunnel trabeculectomy without PI effectively reduced IOP and number of medications in COAG patients during 6-12 months of follow-up. Further controlled studies are needed to better characterize the safety and efficacy of this technique.

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The results of trabeculectomy using a sutureless scleral tunnel technique

Abstract: It appears that sutureless scleral tunnel trabeculectomy is a safe and effective drainage procedure for treating uncontrolled glaucoma. Larger-scale study is recommended.

Cited by 8 publications

References 18 publications

The Results of Trabeculectomy Using a Sutureless Scleral Tunnel Technique

The Results of Trabeculectomy Using a Sutureless Scleral Tunnel Technique

One-year results of stab incision glaucoma surgery and radiofrequency-assisted stab incision in management of open-angle glaucoma

Sutureless tunnel trabeculectomy without peripheral iridectomy: a new modification of the conventional trabeculectomy

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