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

A prospective comparison between trabeculectomy, Scheie's sclerostomy under scleral flap operation and thermal (Sub Scleral Scheie's) procedure

E-1/100, Arera Colony, Bhopal - 462 016, India

Correspondence Address:
Jagmeet Kaur
E-1/100, Arera Colony, Bhopal - 462 016
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Source of Support: None, Conflict of Interest: None

PMID: 3253210

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A comparative study of trabeculectomy, Scheie's operation and Sub Scleral Scheie's 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's operation was the easiest to perform while trabeculectomy required more precision and better magnification for the proper dissection of trabecular tissue while Sub-Scleral' Scheie's operation was a relatively easier procedure. There was early formation of anterior chamber post operatively in trabeculectomy and Sub-Scleral Scheie's procedure, and relatively delayed formation in classical Scheis's operation. The type of blebs following trabeculectomy and Sub-Scleral Scheie's procedure were diffuse and thick (Type 1 and II1 while those after Scheie's 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's operation. It was mid-way in the group of cases operated by Sub-Scleral Scheie's procedure. Modified Scheic's procedure under a scleral flap thus combines the advantages of Trabeculectomy with the ease of performance of Scheie's 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.

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