Modified Trabeculectomy with Extended Subscleral Tunnel: Could it be a Secure Way to Successful Glaucoma Surgery?
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Purpose; Was to describe a modified surgical technique of an extended subscleral tunnel (ESST) with adjunctive mitomycin-C (MMC) application, and to evaluate its safety and efficacy in long term 10P control in glaucoma patients. Methods. Controlled randomized prospective clinical trial included 54 eyes of 46 patients diagnosed with primary open angle glaucoma (lry OAG). They were divided into two equal groups: the imodffied trabeculectomy with adjunctive MMC and ESST' treatment group A and the 'trabeculectomy with adjunctive MMC' as a control group B, and Ultrasonic biomicroscopy (UBM) measurement of the aqueous drainage route (ADR) was done at 12 and 24 months postoperatively The main outcome results included cumulative probability of surgical success, 10P values, number of antiglaucoma drugs needed