The effect of adjustable suture (Khaw) trabeculectomy on intraocular pressure: a retrospective case series

The aim of the study is to investigate long-term intraocular pressure (IOP) outcome as well as complications associated with adjustable suture trabeculectomy in glaucoma patients who were uncontrolled under maximum medical therapy. In this retrospective case series, 35 eyes of 30 patients are includ...

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Bibliographic Details
Published in:International ophthalmology 2016-02, Vol.36 (1), p.97-104
Main Authors: Kaplan, Ahmet, Kocatürk, Tolga, Dayanır, Volkan
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Alkylating Agents - therapeutic use
Female
Glaucoma - physiopathology
Glaucoma - surgery
Humans
Intraocular Pressure - physiology
Male
Medicine
Medicine & Public Health
Middle Aged
Mitomycin - therapeutic use
Ophthalmology
Original Paper
Postoperative Complications
Retrospective Studies
Suture Techniques
Tonometry, Ocular
Trabeculectomy - adverse effects
Trabeculectomy - methods
Visual Acuity
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Summary:The aim of the study is to investigate long-term intraocular pressure (IOP) outcome as well as complications associated with adjustable suture trabeculectomy in glaucoma patients who were uncontrolled under maximum medical therapy. In this retrospective case series, 35 eyes of 30 patients are included in the study. Adjustable suture trabeculectomy with 0.2 mg/cc mitomycin-C for 3 min was performed by the same surgeon. Subconjunctival 5-fluorouracil injection, transconjunctival suture adjustment, digital massage, and/or argon suturolysis were utilized postoperatively as needed. Complete success, qualified success, and failure were defined as IOP ≤18 mmHg without medication, IOP ≤18 mmHg with one or more medications, and IOP >18 mmHg with medication or need for additional glaucoma surgery, respectively. Of the 35 eyes, 13 had primary open angle, 18 had psuedoexfoliative, 1 had juvenile, 1 had pigmentary, 1 had uveitic, and 1 had chronic angle-closure glaucoma. Mean preoperative IOP of 30.1 ± 10.5 mmHg dropped to 10.8 ± 4.7 mmHg ( p  
ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-015-0086-2