Comparison of short-term outcome of fornix- and limbal-based trabeculectomy for glaucoma in our institution Yukihisa Takada 1 , Yuka Okada 1 , Takayoshi Sumioka 1 , Masahide Kokado 1 , Akihiro Inoue 1 , Nobuyuki Ishikawa 1 , Katsuo Tomoyose 1 , Takeshi Miyamoto 1 , Osamu Yamanaka 1 , Shizuya Saika 1 1Dept of Ophthalmol, Wakayama Med Univ Sch of Med pp.1313-1318
Published Date 2014/9/15
DOI https://doi.org/10.11477/mf.1410105384
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Abstract. Purpose:To compare the short-term outcome of trabeculectomy for glaucoma by fornix- and limbal based incision. Cases and Method:This retrospective study was made on 62 eyes of 48 cases that received trabeculectomy during 4 years through 2012. The series comprised 28 males and 22 females. There were primary open-angle glaucoma 34 eyes, primary closed-angle glaucoma 11 eyes, capsular glaucoma 13 eyes, and secondary glaucoma 4 eyes. Trabeculectomy was performed by fornix-based incision in 27 eyes and limbal-based incision in 35 eyes. The outcome was evaluated 3 months after surgery. Results:Intraocular pressure after surgery was significantly lower in eyes receiving fornix-based incision(p=0.0058). There was no difference between the two groups regarding visual acuity, medication score, complications during or after surgery, or additional treatment. Laser suture lysis of scleral wound was performed more frequently in eyes receiving fornix-based incision(p=0.03463). Conclusion:Eyes treated by fornix-based incision resulted in less frequent treatment during or after surgery, better intraocular pressure control, and higher incidence of laser suture lysis.

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