title: Efficacy of Modified 360-degree Suture Trabeculotomy for Pseudoexfoliation Glaucoma.
abstract: OBJECTIVE
  In this prospective study, we aimed to investigate the success and safety of a modified 360-degree suture trabeculotomy (ST) technique in patients with pseudoexfoliation glaucoma (XFG).
  
  
  METHODS
  The modified 360-degree ST was performed on 15 eyes of 15 patients with XFG resistant to maximal topical treatment. In 6 patients, ST was combined with phacoemulsification. Main outcome measures were the surgical success rate, mean postoperative intraocular pressure (IOP), the number of antiglaucoma medications, and the operative complications.
  
  
  RESULTS
  The mean follow-up period was 8 months (range 6 to 12 mo). Baseline IOP decreased from 27.53±9.38 mm Hg on 3.26±0.70 medications to 12.86±2.72 mm Hg (P=0.01) on 0.20±0.56 medications (P=0.01) at 6 months postoperatively accounting for a 52.82% reduction. The complete and qualified success rates were 77% and 100%, respectively, at the sixth month. The entire circumference of the Schlemm canal was successfully opened in all cases. Hyphema (in all cases), intraoperative iris prolapse (in 3 cases), transient elevation of the IOP (in 1 case), posterior synechia (in 2 phakic cases), and peripheral anterior synechia (in 1 case) were noted. There was not a trend for lower IOP after combined phacomodified 360-degree ST in this small group.
  
  
  CONCLUSIONS
  The modified 360-degree ST appears to be a valuable option for the surgical treatment of XFG. Future studies are needed to explore the remote side effects and the long-term effects of this procedure on IOP.
authors: *Department of Ophthalmology, Gazi University, Medical School ‡Department of Ophthalmology, Turgut Özal University, Medical School, Ankara †Erciş State Hospital, Eye Clinic, Van, Turkey.
authors: İbrahim F
authors: İF
authors: Hepşen
authors: Emre
authors: E
authors: Güler
authors: Deniz
authors: D
authors: Kumova
authors: Aylin
authors: A
authors: Tenlik
authors: Ali Ender
authors: AE
authors: Kulak
authors: Eroğlu
authors: E
authors: Hülya Yazici
authors: Gaye
authors: G
authors: Dişli
mesh_terms: D000368:Aged; D017889:Exfoliation Syndrome / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods; D011446:Prospective Studies; D013536:Suture Techniques; D014065:Tonometry, Ocular; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology