International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - 7(17), September, 2015

Pages: 20-26

OUTCOME OF CONVENTIONAL TRABECULECTOMY WITH OR WITHOUT CATARACT SURGERY

Author: Usha B.R., M. S. Usha, M. Brinda Prasad

Category: Healthcare

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Abstract:

Purpose: To study the outcome of conventional trabeculectomy with or without cataract surgery in different types of glaucoma in low risk cases.
Materials and Methods: 50 consecutive eyes, each undergoing conventional trabeculectomy and, 50 eyes combined with cataract surgery are included in this prospective study; each patient had a minimum period of follow-up for six months. Preoperative details of medications, visual acuity, slit lamp evaluation, applanation tonometry, cup to disc ratio and visual fields were compared with similar parameters postoperatively. “Complete success” was defined in this study as intraocular pressure (IOP) <21mmHg or 30% reduction from the preoperative IOP. Latest IOP recorded in each eye has been considered for this study.
Results: Postoperative mean IOP in the trab group was 13.08 + 3.52 mm Hg and in combined group it was 13.70 + 3.31 mm Hg during 100% visits, with follow ups ranging from six months to > 5 years. There was no significant difference in IOP reduction between trabeculectomy and combined groups. 87% of long-term “Complete Success” rate in both the groups and 76% visual outcome of > 6/18 in the combined group may be attributed to minimum rate of complications.
Conclusion: Conventional trabeculectomy without using antimetabolites is successful even in the present day glaucoma management in low risk glaucoma cases, when performed with technical precision aided by vigilant postoperative care. It is equally effective and convenient when combined with cataract surgery in relevant cases.

Keywords: Glaucoma, Conventional trabeculectomy, Combined surgery, Complete success, Intraocular pressure, Antimetabolites

 Citation:

Usha B.R., M. S. Usha, M. Brinda Prasad. OUTCOME OF CONVENTIONAL TRABECULECTOMY WITH OR WITHOUT CATARACT SURGERY International Journal of Current Research and Review. 7(17), September, 20-26

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A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
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A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
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A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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