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   Table of Contents      
ARTICLES
Year : 1983  |  Volume : 31  |  Issue : 6  |  Page : 749-750

Further report on trabeculectomy "Trabeculectomy with scleral flap"


CH. Nagari Municipal Eye Hospital, Ahmedabad, India

Correspondence Address:
Chhotubhai K Patel
CH. Nagari Municipal Eye Hospital, Ahmedabad
India
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Source of Support: None, Conflict of Interest: None


PMID: 6676259

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How to cite this article:
Patel CK, Bavishi AK, Patel NC. Further report on trabeculectomy "Trabeculectomy with scleral flap". Indian J Ophthalmol 1983;31:749-50

How to cite this URL:
Patel CK, Bavishi AK, Patel NC. Further report on trabeculectomy "Trabeculectomy with scleral flap". Indian J Ophthalmol [serial online] 1983 [cited 2020 Jun 4];31:749-50. Available from: http://www.ijo.in/text.asp?1983/31/6/749/29317

Table 3

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Table 3

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Table 2

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Table 2

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Table 1

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Table 1

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Trabeculectomv has been accepted as a val­uable surgical procedure, proved easy to per­form and method of choice with many, for Glaucoma.

In our previous communications evaluation of Standard Trabeculectomy (S.T.) has been put forth with high success rates in raised Intra Ocular Pressure (I.O.P.) upto 40mm Hg. and some failure rates in I.O.P. above 40mm.

We have devised a variation from the S.T. wherein the inner scleral flap is not excised but everted upon and sutured to the outer one.


  MATERIALS & METHODS: Top


We have selected fifty eyes of Chronic Sim­ple Glaucoma [Table - 1] with I.O.P. above 4llmm [Table - 2] with no choice of age or sex, with post operative follow up, ranging from 2 to 16 months.


  Procedure Top


Routine operation of trabeculectomy is per­formed except the inner flap which is not ex­cised but everted upon and sutured to the outer one.

Post operative tensions were recorded - first, second, six weeks and onwards [Table­ 3].

Formation and health of the filtering bleb, complications such as hyphaema, lens opacity, anterior chamber etc. remains the same as S.T. except little prolonged shallowness of an­terior chamber.


  Discussions Top


Trabeculectomy with formation of the valve by the everted inner scleral flap, helps in low­ering and maintaining the high I.O.P. to an ac­ceptable level which is encountered in various ways. The inner everted flap remains in con­stant action with the pressure and the move­ment of the upper lid. The smooth surface of the inner flap delays adhesions. Various possible routes of aqueous seepage are the inner cut ends of Schlemm's Canal through cut ends of scleral vessels, inner window, through the thinner outer scleral flap to the sub-tenon space.


  Summary Top


Observation of 50 eyes of Chronic Simple Glaucoma with raised I.O.P. above 40 mm have been evaluated with a scleral flap valve procedure with encouraging results.



 
 
    Tables

  [Table - 1], [Table - 2], [Table - 3]



 

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MATERIALS & METHODS:
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