Publication: Effectiveness of combination of permanent and releasable scleral flap sutures in trabeculectomy: A randomized clinical trial
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | R, Kumari | |
| dc.contributor.author | BP, Badhu | |
| dc.contributor.author | H, Das | |
| dc.date.accessioned | 2025-07-24T05:46:46Z | |
| dc.date.available | 2025-07-24T05:46:46Z | |
| dc.date.issued | 2006 | |
| dc.description | Kumari R, Badhu BP, Das H B. P. Koirala Institute of Health Sciences, Department of Ophthalmology, Dharan, Sunsari, Nepal | |
| dc.description.abstract | Introduction: Trabeculectomy is a commonly used surgical treatment for glaucoma. Purpose: To evaluate the effectiveness of combination of permanent and releasable scleral flap sutures to minimize the immediate postoperative complications of trabeculectomy. Materials and methods: This study was carried out in Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal. Forty one eyes of 34 patients undergoing trabeculectomy were randomized to undergo either conventional trabeculectomy (Group A= 20 eyes) or trabeculectomy with combination of permanent and releasable scleral flap sutures (Group B =21 eyes). The parameters studied were intraocular pressure (IOP), anterior chamber depth (ACD) and surgical complications over a period of 6 weeks. Results: Significantly higher number of eyes belonging to group A (14 eyes) had shallower anterior chamber than group B (7 eyes) on first post operative day (p=0.042). Six eyes (30%) in group A had peripheral or central irido- corneal touch in early postoperative period as compared to only one in Group B. Hypotony was noted in 3 eyes in each group. Two patients in group A required reformation of anterior chamber. Other surgical complications in the two groups were similar. Both the groups had a significant drop in IOP following surgery. However, there was no significant difference in the IOP between the two groups after 6 weeks (Group A: 10.95 ± 3.03 mmHg vs. Group B: 12.29 ± 4.67 mmHg; p=0.87). There was a significant drop in IOP following removal of sutures (15.19 ± 6.15 mmHg to 13.19 ± 6.13 mmHg; p=006) in group B. Conclusion: Use of combination of permanent and releasable scleral flap sutures is a safe technique that significantly reduces the incidence of immediate postoperative shallow anterior chamber after trabeculectomy. Key words: Trabeculectomy, Intra ocular pressure, anterior chamber depth, combination of releasable and permanent scleral flap sutures | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/576 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.title | Effectiveness of combination of permanent and releasable scleral flap sutures in trabeculectomy: A randomized clinical trial | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 425 | |
| oaire.citation.startPage | 419 | |
| relation.isJournalIssueOfPublication | 33ef012a-4a08-47e9-beb2-7862118d90bf | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 33ef012a-4a08-47e9-beb2-7862118d90bf | |
| relation.isJournalOfPublication | a782b7ff-cf89-4178-ad1c-11ed89cfe1bd |