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NR. 3(II)/2007
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Ocena skuteczności
operacji przeciwjaskrowych metodą trabekulektomii z odpływem
uveoskleralnym na podstawie
materiału własnego
Efficacy Evaluation of the Antiglaucoma Surgeries with
Trabeculectomy Method with Uveoscleral Outflow Based on Own
Material
Joanna Sempińska-Szewczyk, Izabela
Bluj-Leska
Oddział Okulistyczny Szpitala Wojewódzkiego im. Jana Pawła II w
Bełchatowie
Ordynator: dr n. med. Joanna Sempińska-Szewczyk |
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| Summary: |
Purpose: To
investigate results of own modification of the standard
trabeculectomy with uveoscleral outflow.
Material and methods: 35 eyes with glaucoma
underwent trabeculectomy with the uveoscleral outflow
from March 2005 to March 2006. The preoperative IOP
ranged from 14.6 mmHg to 27.9 mmHg (average 21.25 mmHg).
We presented our method of surgical treatment and the
postoperative complications.
Results: Patients were followed-up for a period
from 4 to 12 months. The modified procedure improved IOP
control while secondarily reducing dependence on
subconjunctival outflow to minimize bleb size along with
blebrelated discomfort and complication. The IOP lower
than 14 mmHg (8-14 mmHg) was achieved in 80.1% eyes.
Hypotony was observed in 2.8% of eyes. Increased IOP (above
than 19 mmHg) was observed in 5.7% of eyes. Only a few
early postoperative complications such as: anterior
chamber shallowing, choroidal detachment, hyphema,
hypotony were observed.
Conclusions: We suggest that the new version of
trabeculectomy with the aqueous outflow via the
uveoscleral pathway have good results and is a safe
glaucoma surgery method. |
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| Key words: |
glaucoma, trabeculectomy
with uveoscleral outflow. |
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