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ORIGINAL ARTICLE
Year : 1999  |  Volume : 47  |  Issue : 2  |  Page : 117-119

The role of tenonectomy in trabeculectomy


1 VST Center for Glaucoma Care L.V. Prasad Eye Institute, Hyderabad, India
2 Public Health Ophthalmology Service, L.V. Prasad Eye Institute, Hyderabad, India

Correspondence Address:
Chandra G Sekhar
L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad 500 034
India
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Source of Support: None, Conflict of Interest: None


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Purpose: To assess the effect of tenonectomy in further lowering the intraocular pressure (IOP) when combined with trabeculectomy. Methods: The outcomes and complications in 54 eyes of 54 consecutive patients who underwent trabeculectomy with tenonectomy (group I), and 47 eyes of 47 patients who underwent trabeculectomy without tenonectomy (group II) with matching pre-operative variables were analysed. Results: With a mean follow up of 14.7 8.1 months in group I and 17.4 9.5 months in group II, the post-operative mean IOP in the former group was lower by 2.2 mmHg compared to the latter group (p=0.024). Complications seen were conjunctival buttonhole (one in each group), encysted bleb (two in group I and one in group II), one persistent choroidal detachment, and one ciliary block glaucoma in group I. Conclusion: Tenonectomy when combined with trabeculectomy, results in a lower IOP


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