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Trabeculectomy at the inferior limbus
Author(s) -
Vesti Eija,
Raitta Christina
Publication year - 1992
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1992.tb04127.x
Subject(s) - medicine , trabeculectomy , glaucoma , ophthalmology , surgery , complication
. Fourteen eyes (12 with open‐angle glaucoma and 2 with secondary glaucoma) of 14 patients were operated by trabeculectomy at the inferior limbus. The surgical technique is described and results of 6–12 months follow‐up are reported. Complication rate was reasonably low. Early postoperative IOP higher than 30 mmHg occurred in one eye where a blood clot and sodium hyalu‐ronate obstructed filtration of aqueous. Postoperative mean IOP was 16.3 mmHg (6–29 mmHg) in 13 eyes at 3 months, 17.1 mmHg (13–26 mmHg) in 12 eyes at 6 months and 20.1 mmHg (11–31 mmHg) in 12 eyes at 12–16 months. Three eyes had follow‐up of 19–21 months and corresponding IOPs were 14, 15 and 22 mmHg. IOP was < 22 mmHg in 10/12 eyes at 6 months and in 8/12 eyes at 12–16 months. 6/12 eyes managed without medication at 6 months and 2/12 eyes at 12–16 months. Trabeculectomy at inferior limbus is a safe procedure and it is recommended as a surgical procedure in eyes after previous cataract surgery.