Volume : 8, Issue : 3, March - 2019

CLINICAL STUDY OF TRABECULECTOMY USING SUTURELESS SCLERAL TUNNEL TECHNIQUE

Dr. Manzoor Qadir Keng, Dr. Parvez Handoo, Dr. Tufela Shafi

Abstract :

Purpose:- This study was conducted to study the success rate in terms of control of intraocular pressure (IOP) and complications of trabeculectomy using sutureless scleral tunnel technique in patients with primary open angle glaucoma (POAG). Methods:- The study was conducted on 50 patients with primary open angle glaucoma whose IOP was more than 21mmHg with administration of maximally tolerated medications or had poor compliance to treatment. Informed consent was obtained from each patient before entry into the study. All of the patients underwent sutureless scleral tunnel trabeculectomy under peribulbar anaesthesia and were fllowed for six months. Patient data such as age, sex, IOP, visual acuity, cup disc ratio, gonioscopy, perimetry, intraoperative and postoperative complications, bleb status and success rate were evaluated. Results:- Mean age was 60.86±9.09 and 78% of the patients were male. Mean IOP was 30.56±7.16mmHg before surgery and 16.00± 2.32mmHg (p<0.001) six month after surgery. No intraopertive complications were encountered. 5 patients (10%) has hyphaema, 4 patients (8%) had hypotony, 7 patients (14%) had shallow anterior chamber that was managed medically. The absolute success rate was 90%. Conclusion:- Sutureless scleral tunnel trabeculectomy is an easy, safe and effective drainage procedure for treating primary open agnle glaucoma not controlled by medical therapy.