Deep sclerectomy versus trabeculectomy in management of primary open angle glaucoma

Aim of the work: This work aims to evaluate the efficacy of deep sclerectomy in management of primary open angle glaucoma, with its possible complications through a comparative study with the traditional filtering surgery trabeculectomy. Patient and methods: Thirty eyes of 28 glaucoma patients, whom were diagnosed as primary open angle glaucoma, were randomly divided into two groups each of 15 eyes, group I: Patients were subjected to trabeculectomy operation. Group II: Patients were subjected to deep sclerectomy operation. The two groups were followed postoperatively for detection of any complications Results and discussion: The deep sclerectomy as non penetrating glaucoma surgery lowers the intraocular pressure as good as the standard trabeculectomy. Its complication rate is very low during the early postoperative weeks

Surgical results of combined trabeculotomy-trabeculectomy for congenital glaucoma

Combined trabeculotomy-trabeculectomy was used in 40 eyes of 32 patients with primary congenital glaucoma [20 patients were females and 12 were males, their ages ranged between 7 months and 3 years with a mean of 1.42 years]. Primary combined trabeculotomy-trabeculectomy was the chosen intervention. No previous surgical intervention was done to any patient. All patients underwent thorough history taking and ophthalmic examination. The average follow up period was 8.9 months [6-12 months]. The main outcome measures were postoperative intraocular pressure [IOP], corneal clarity and diameter, bleb characteristics, time of surgical failure and complications. The success criteria included intraocular pressure inferior to 16 mm Hg under general anesthesia. The mean preoperative IOP was improved from 28.9 mm Hg to 14.1 mm Hg at 12 months postoperatively. A progressive improvement of the outcome parameters was observed in 37 out of 40 eyes. None of the patients had any sight-threatening intra or postoperative complications