Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1988  |  Volume : 36  |  Issue : 4  |  Page : 158--161

A prospective comparison between trabeculectomy, Scheie俟Q製 sclerostomy under scleral flap operation and thermal (Sub Scleral Scheie俟Q製) procedure


Jagmeet Kaur, Gurdeep Singh 
 E-1/100, Arera Colony, Bhopal - 462 016, India

Correspondence Address:
Jagmeet Kaur
E-1/100, Arera Colony, Bhopal - 462 016
India

A comparative study of trabeculectomy, Scheie俟Q製 operation and Sub Scleral Scheie俟Q製 operation (Thermal Sclerostomy under Scleral flap) is presented in this study. Results on thirty eyes divided into three groups of 10 each were evaluated. It was observed that Scheie俟Q製 operation was the easiest to perform while trabeculectomy required more precision and better magnification for the proper dissection of trabecular tissue while Sub-Scleral俟Q Scheie俟Q製 operation was a relatively easier procedure. There was early formation of anterior chamber post operatively in trabeculectomy and Sub-Scleral Scheie俟Q製 procedure, and relatively delayed formation in classical Scheis俟Q製 operation. The type of blebs following trabeculectomy and Sub-Scleral Scheie俟Q製 procedure were diffuse and thick (Type 1 and II1 while those after Scheie俟Q製 operation were comparatively large and cystic (Type III). These are not only cosmetically less satisfactory but also have the potential risk of perforation and late infection Intra ocular pressure was controlled with all procedures. However the incidence of hypotony was least after trabeculectomy and maximum after Scheie俟Q製 operation. It was mid-way in the group of cases operated by Sub-Scleral Scheie俟Q製 procedure. Modified Scheic俟Q製 procedure under a scleral flap thus combines the advantages of Trabeculectomy with the ease of performance of Scheie俟Q製 operation and thus could be taken up as a valuable alternative procedure in the choice of glaucoma surgery. This study in no way provides a full answer to which surgical procedure is ideal but it will definitely help a surgeon to decide which procedure is more appropriate for a particular case.


How to cite this article:
Kaur J, Singh G. A prospective comparison between trabeculectomy, Scheie's sclerostomy under scleral flap operation and thermal (Sub Scleral Scheie's) procedure.Indian J Ophthalmol 1988;36:158-161


How to cite this URL:
Kaur J, Singh G. A prospective comparison between trabeculectomy, Scheie's sclerostomy under scleral flap operation and thermal (Sub Scleral Scheie's) procedure. Indian J Ophthalmol [serial online] 1988 [cited 2020 Apr 10 ];36:158-161
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=1988;volume=36;issue=4;spage=158;epage=161;aulast=Kaur;type=0