PURPOSE To evaluate postoperative outcomes and success after combined phacoemulsification and glaucoma surgery with Ex-PRESS miniature implant compared with combined surgery with standard trabeculectomy. METHODS In this prospective series of 40 consecutive eyes we compared 20 eyes in 17 patients treated with combined phacoemulsification and glaucoma filtering surgery with the Ex-PRESS miniatu...

OBJECTIVE To compare the short-term and long-term efficacy of using releasable sutures vs conventional interrupted sutures for scleral flap suturing in trabeculectomy. DESIGN A prospective randomized study. SETTING A university-affiliated referral eye hospital. PATIENTS Thirty consecutive patients requiring trabeculectomy for uncontrolled primary glaucoma. INTERVENTION Fifteen patients ...

CLINICAL CASE A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomy performed 13 years ago. To construct a new filtering bleb, the necrotic area was fully excised. The amniotic membrane was inserted over the scleral flap underneath healthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye was sutured and was sealed with fibrin adhesive....

We describe an innovative technique for performing standardized low cost glaucoma filtration surgery using a polytetrafluoroethylene (PTFE) intravenous cannula. The trocar of a 24 gauge (24G) PTFE intravenous cannula was used to create a trabeculectomy ostium and its tube was inserted under a partial thickness scleral flap in 2 patients with advanced glaucomatous optic neuropathy, in whom intra...

A 46-year-old myopic white male developed severe hypotony maculopathy with a visual acuity of 8/200 and an IOP of 3 mm Hg 2 weeks after combined phacoemulsification and trabeculectomy with mitomycin C for juvenile glaucoma. Despite success with surgical revision of the bleb in cases of posttrabeculectomy hypotony maculopathy,1-3 we were aware that reopening the conjunctival flap still posed a r...

PURPOSE To compare the effectiveness of standard revision surgery using mitomycin C (MMC) with revision using amniotic membrane transplantation and MMC for elevated intraocular pressure (IOP) after trabeculectomy. PATIENTS AND METHODS A retrospective, nonrandomized comparative study of 36 eyes of 36 patients with a failed trabeculectomy. Patients were divided into two groups, ie, a nonamnion-...

© t o U C H B r i e f i n g s 2 0 1 2 although for open-angle glaucoma the level of intraocular pressure (iop) is no longer recognized as a defining criterion, it is a major risk factor for the development and progression of the disease. medical, laser, and surgical therapies therefore reduce iop to attempt to modify disease progression. trabeculectomy is the current gold standard of filtration...

Purpose: To describe the clinical findings and treatment modalities of persistent hypotony following primary trabeculectomy with mitomycin C. Methods: We retrospectively analyzed 9 eyes with persistent hypotony, which was defined as intraocular pressure less than or equal to 5 mmHg for more than 2 months. Results: Mean hypotony duration was 7.4 months (standard deviation (SD) ± 6.7 months, rang...