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Automated Perimetry
Carbonic Anhydrase Inhibitors
Intra Ocular Lens Power Calculation and Optic Biometry...
Visual Field Defects in Glaucoma
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Current Minimal Invasive Angle Procedures Without Implants for the Treatment of Glaucoma...
Intra Ocular Lens Power Calculation and Optic Biometry...
Automated Perimetry
Carbonic Anhydrase Inhibitors
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Glokom-Katarakt 2010 , Vol 5 , Num 4
Turkish Abstract Abstract PDF Similar Articles Mail to Author
The Effect of Intraoperative Viscoelastic Injection under the Scleral Flap on Early Postoperative Trabeculectomy Complications
Emine ŞEN1, Pınar NALCACIOĞLU1, Alper YAZICI1, F. Nur AKSAKAL2, Gültekin KÖKLÜ1, Faruk ÖZTÜRK3
1S.B. Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Kliniği, Ankara, Uz. Dr.
2Gazi Üniversitesi Tıp Fakültesi, Halk Sağlığı A.D., ANKARA, Doç. Dr.
3S.B. Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Kliniği, Ankara, Prof. Dr.
Purpose: To investigate the effect of intraoperative injection of viscoelastic (sodium hyaluronate) under the scleral flap in preventing early postoperative complications of trabeculectomy.
Materials and Methods: In this prospective randomized study, 59 eyes in which trabeculectomy had been performed were divided into a study group (29 eyes) and a control group (30 eyes). In the study group sodium hyaluronate (1.0%) was injected under the scleral flap, while in the control group only balanced salt solution was injected.
Results: On the postoperative first day, there were no statistically significant differences between the two groups in terms of mean visual acuity, anterior chamber shallowing, or hyphema. Early hypotony was significantly more frequent in the control group (33.3%) than in the study group (10.3%). Postoperative choroidal detachment and an early intraocular pressure peak occurred in one patient in the control group.
Conclusion: Injecting sodium hyaluronate under the scleral flap during trabeculectomy significantly reduced the incidence of early hypotony.
Keywords : Complication, early hypotony, glaucoma, trabeculectomy, viscoelastic
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