|Year : 1982 | Volume
| Issue : 5 | Page : 431-432
Further report of our experiences with scleral flap transposition (Russian operation), trabeculectomy and iridencleisis in glaucoma surgery
Chhotubhai K Patel, K Bavishi
C.H. Nagari Municioal Eye Hospital, Ahmedabad, India
Chhotubhai K Patel
C.H. Nagari Municipal Eye Hospital, Ahmedabad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Patel CK, Bavishi K. Further report of our experiences with scleral flap transposition (Russian operation), trabeculectomy and iridencleisis in glaucoma surgery. Indian J Ophthalmol 1982;30:431-2
We are presenting our experiences of Scleral Flap Transposition (Russian operation), Trabeculectomy and ridencleisis in Glaucoma Surgery in our series of 400 cases operated at C.H. Nagari Municipal Eye Hospital, Ahmedabad, ranging from 2 months to 4 years. Out of which, the follow up report of 225 cases were presented earlier.
The procedures of Trabeculectomy, Scleral Flap Transposition and Iridencleisis were described in detail in our previous paper.
| Materials and methods|| |
In comparison to our last report, we have studied 175 cases more making a total of 400 cases-additions being; 75 cases of Trabeculectmy, 25 cases of Russian operation and 75 cases of Iridencleisis.
The complication regarding shallow anterior Chamber, hyphaema, bleb formation, vascularisation of bleb etc. remain in the same percentages.
| Observations and discussion|| |
The control of tension followed during the last 4 year's period varies. The success rate claimed by other authors in Trabeculectomy and Russian operation nearing 95% is not achieved in our series. It is true that the IOP can be under control for t,-8 months. As time passes on some of them need further methods of control of tension. We had to repeat the various operations in our series-9% of Trabeculectomy which was 5% in our previous report and 12% of Russian operation. The range of IOP drop was practically the same with second repeat Trabeculectomy. We have not repeated (ridencleisis. The Russian operation has to be repeated more often than Trabeculectomy. Our final success rate after 4 years was found to be 89%; in selected cases. The failed cases were controlled by other medical and surgical methods. The success rate in Iridencleisis was 88% after 4 years follow up. But the complication rate was equally high with regard to Lens Opacity and bleb complications. We had to control the IOP by other medical or surgical methods in 16 patients who had undergone Trabeculectomy, 6 cases of Russian Operation and 21 cases of Iridencleisis in this series.
| Acknowledgement|| |
We are thankful to Dr. I. L. FRANCIS, M. S. Ophth., in helping us to follow and observe the minute details and in documenting the report of our series.
| References|| |
Patel, C. K. and Bawishi A. K. 1981, Ind. J. Ophthalmol. Soc. 29
[Table - 1], [Table - 2], [Table - 3]