NON PENETRATING DEEP LAMELLAR SCLEROLIMBECTOMY WITH PLACEMENT OF SPACE MAINTAINER ( PRELIMINARY SHORT TERM REPORT)
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To evaluate the intraocular pressure (lOP) lowering effect of this non penetrating filtering surgery in management of cases with primary open angle glaucoma. Methods : 15 selected eyes of 15 patients having primary open angle glaucoma (POAG) under medical treatment and not operated upon their eyes before. The procedure was done. This new technique comprises non penetrating subscleral lamellar sclerolimbectomy with placement of space maintaining suture. Patients were followed up for evaluation of LOP lowering effect and occurrence of complications for a period of 6 months post-operatively. Results : LOP had been lowered in all eyes enrolled in the study immediately postoperatively. A significant reduction of IOP (2:18 mmHg) in 11 eyes (73%) was maintained until the end of follow up period. Conclusion : Non penetrating deep lamellar sclerolimbectomy with placement of space maintainer suture is a new technique that found to be effective in lowering LOP with no complications as those of traditional (penetrating) subscleral trabeculectomy. Long term follow up is needed for further evaluation of the prolonged efficacy of this procedure.