Short-term outcome of trabeculectomy as day surgery with adjunct use of viscoelastic material Akira Okubo 1 , Yoshiko Okubo 1 , Kazuko Oguchi 1 , Itaru Sudo 1 1Okubo Eye Hosp pp.243-249
Published Date 2007/2/15
DOI https://doi.org/10.11477/mf.1410101554
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Abstract. Purpose:To report the short-term outcome of day-surgery for glaucoma by trabeculectomy with adjunct use of viscoelastic material. Cases and Method:This retrospective study was made on 11 eyes of 10 cases of open-angle glaucoma. The age ranged from 38 to 76 years,average 62 years. Low-molecular,low-viscous hyaluronic acid was used intra-and postoperatively to maintain the anterior chamber. Patients were followed up for 3 months. Results:Intraocular pressure(IOP)ranged from 4 to 28mmHg during the first postoperative week. IOP was over 20mmHg in 4 eyes. All the eyes showed IOP below 20mmHg after the second week. Four eyes showed shallow anterior chamber. There was no case of flat anterior chamber. IOP was well-controlled for 3 months after surgery. Serious complications were absent throughout. Conclusion:Early postoperative hypotony can be avoided by trabeculectomy with adjunct use of viscoelastic material. This surgical modality will contribute to the safety of day-surgery for glaucoma.

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