TRABECULECTOMY WITH RELEASABLE SUTURES FOR GUARDED FILTRATION SURGERY

Abstract

SUMMARY AND RECOMMENDATIONS The aim of this study was to use the releasable suture technique to allow an initial tight closure to eliminate or reduce the aqueous over-filtration in the early postoperative period with an option to increase aqueous outflow when needed, avoiding the frequent early postoperative complications resulting from hypotony, shallowing and loss of the anterior chamber. This study was performed on 50 eyes of 41 phakic patients diagnosed to have chronic primary open angle glaucoma, they were 27 males and 14 females , their age ranged from 40 years to 71 years. Difference in and sex was found to be statistically insignificant. The patients were operated upon in Benha University Hospitals during the period from March 1996 to December 1997. The patients were followed up daily for 10-15 days then weekly for 12 weeks. Through out this study no superior rectus Bridle sutures were used, and a superior corneal traction suture was used instead, the were no complications with this traction suture which provided a good exposure of the superior conjunctiva, and avoided any irritation or bleeding that could result from manipulating the superior rectus and tententing of the conjunctiva . Paracentesis was an essential step in glaucoma filtration surgery in this study allowed access to the anterior Summary and Recommendations chamber throughout the procedure and reformation of the anterior chamber when needed postoperatively.