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. |
