ARTICLES
Year : 1983 | Volume
: 31 | Issue : 6 | Page : 749--750
Further report on trabeculectomy "Trabeculectomy with scleral flap"
Chhotubhai K Patel, Anil K Bavishi, Narendra C Patel CH. Nagari Municipal Eye Hospital, Ahmedabad, India
Correspondence Address:
Chhotubhai K Patel CH. Nagari Municipal Eye Hospital, Ahmedabad India
How to cite this article:
Patel CK, Bavishi AK, Patel NC. Further report on trabeculectomy "Trabeculectomy with scleral flap".Indian J Ophthalmol 1983;31:749-750
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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 2024 Mar 29 ];31:749-750
Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1983/31/6/749/29317 |
Full Text
Trabeculectomv has been accepted as a val�uable surgical procedure, proved easy to per�form 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:
We have selected fifty eyes of Chronic Sim�ple 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
Routine operation of trabeculectomy is per�formed except the inner flap which is not ex�cised 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 an�terior chamber.
DISCUSSIONS
Trabeculectomy with formation of the valve by the everted inner scleral flap, helps in low�ering and maintaining the high I.O.P. to an ac�ceptable level which is encountered in various ways. The inner everted flap remains in con�stant action with the pressure and the move�ment 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
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.
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