Publications of Faculty of Medicine:CORNEAL TOPOGRAPHIC CHANGES FOLLOWING CORNEAL TRABECULECTOMY: Abstract

Title:
CORNEAL TOPOGRAPHIC CHANGES FOLLOWING CORNEAL TRABECULECTOMY
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Abstract:

Is to ever' Imre the effect of corneal trabeculectomy on corneal curvature and to find out the degree of astigmatism induced by this technique. Fifteen eyes of 9 patients with medically uncontrolled glaucoma and which were determined to have corneal trabeculectomy were included. Preoperatively, corneal topography was performed and the topographic maps were analyzed regarding the overall and the central 3rnm corneal curvature (power), the steepest and flattest meridia and delta k. Corneal trabeculectomy was done and corneal topography was repeated 2 weeks postoperatively. Topographic maps were compared to the preoperative findings. Corneal trabeculectomy results in marked steepening of the cornea at the site of the corneal flap. However this effect is much less marked centrally. Although corneal trabeculectomy entails the preparation of a partial thickness corneal flap which is resutured to its bed by 4 sutures at the 4 corners. its effect on the corneal curvature within the central 3 mm zone is only minimaL