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¹S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Uzm. Dr.
²S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Asist. Dr.
³S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Doç. Dr.
⁴S.B. Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi Klinik Şefi, Ankara, Uzm. Dr. Purpose: To compare the efficacy and complications of releasable suture trabeculectomy.
Materials and Methods: Sixty eyes of 60 patients with uncontrolled glaucoma despite maximally tolerated medical therapy were included in a study. Releasable suture trabeculectomy was performed all of patients by one ophthalmologist. Patients were evaluated for trabeculectomy related complications and long period intra ocular pressures postoperatively.
Results: 34 men (56.66%) and 26 women (43.33%) were available for follow up evaluation. Mean age was 59.46±7.1 (28-80 year). The mean intraocular pressure was determined as 30.4±4 mmHg preoperatively. Open angle glaucoma in 34 cases (56.6%), pseudoexfoliative glaucoma in 13 cases (21.6%), and angle closure glaucoma in 13 cases (21.6%) were detected as etiologic causes. The mean follow-up period was 48±1.6 months. On the first postoperative day, mean intraocular pressure was determined as 16.9±1.8 mmHg. The mean intraocular pressure was 11.83±2.08 mmHg after suture removal. Shallow anterior chamber was observed in 9 (15%) eyes, iridocorneal touch was observed in 5 (8.3%) eyes, and hypotony was observed in 8 eyes (13.3%) in the early postoperative period.
Conclusion: Releasable scleral flap sutures reduce the incidence of shallow anterior chamber and iridocorneal touch after trabeculectomy. Also, hypotony and related problem with this complication were seen lower. Keywords : Releasable suture, hypotony, glaucoma, trabeculectomy