Trabeculectomy at the inferior limbus.
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.
Vesti
E
E
Department of Ophthalmology, University of Helsinki, Finland.
Raitta
C
C
D000368:Aged; D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000601:surgery; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D008875:Middle Aged; D011183:Postoperative Complications; D012590:Sclera / Q000601:surgery; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome