title: Modified 360-degree Suture Trabeculotomy for Pseudoexfoliation Glaucoma: 12-Month Results.
abstract: OBJECTIVE
  We aimed to evaluate the 12-month results of a modified 360-degree suture trabeculotomy (ST) technique in patients with pseudoexfoliation glaucoma (XFG).
  
  
  METHODS
  The modified 360-degree ST was performed on 20 eyes of 20 consecutive patients with XFG resistant to maximal topical treatment. In 8 patients, ST was combined with phacoemulsification. The main outcome measures were the surgical success rate, the mean postoperative intraocular pressure (IOP), the number of antiglaucoma medications, and the operative complications.
  
  
  RESULTS
  The baseline IOP (26.55 ± 8.91) and medications (3.15 ± 0.81) decreased significantly to 10.90 ± 2.73 mm Hg and 0.30 ± 0.80, respectively, at 12 months postoperatively (P<0.001). The magnitude of IOP reduction was 58.9%. Complete and qualified success rates were 68.4% and 94.7%, respectively. The entire circumference of Schlemm's canal was opened successfully in all cases. Hyphema, perforation of the trabeculodesmetic window, posterior synechia, peripheral anterior synechia, and a transient elevation of the IOP were noted. The results are comparable to our 6-month results and other previously published results for circumferential trabeculotomy.
  
  
  CONCLUSIONS
  The modified 360-degree ST provides a feasible choice in patients with XFG with a reasonable rate of complications. The 12-month success rates are promising. It can also be combined effectively with the current cataract surgery.
authors.affiliation: *Department of Ophthalmology, Gazi University, Medical School, Ankara †Erciş State Hospital, Eye Clinic, Van ‡Viranşehir State Hospital, Eye Clinic, Urfa, Turkey.
authors.forename: İbrahim F
authors.initials: İF
authors.lastname: Hepşen
authors.forename: Emre
authors.initials: E
authors.lastname: Güler
authors.forename: Nuriye G
authors.initials: NG
authors.lastname: Yalçin
authors.forename: Deniz
authors.initials: D
authors.lastname: Kumova
authors.forename: Zeynep P
authors.initials: ZP
authors.lastname: Aktaş
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*; D014792:Visual Acuity / Q000502:physiology