Abstract Background: The aim of this study was to evaluate the efficacy and safety of phacoemulsification and the implantation of intraocular lenses (IOL) combined with trabeculectomy supplemented by releasable sutures and antimetabolite agents. Methods:Phacotrabeculectomy was performed in 36 eyes of 30 patients who hadmedically uncontrolle...

The effect of varying the position of a trabeculectomy fistula on the rate of postoperative hyphaema was studied in a prospective randomised trial. One eye of each of 78 consecutive patients with primary open angle glaucoma and exfoliation glaucoma was allocated to one of two groups. In group A the fistula was fashioned anterior to the scleral spur, entirely in corneal tissue. In group B the fi...

PURPOSE To report a case of intraocular erosion and intrusion by an Arruga suture. CASE REPORT This study involved a 62-year-old male who had undergone scleral buckling surgery 40 or more years ago at another hospital for rhegmatogenous retinal detachment, as well as trabeculectomy 20 years ago for primary open-angle glaucoma, in his left eye at the same hospital. However, he recently became ...

BACKGROUND AND OBJECTIVE To compare the success and complication rates of patients with glaucoma who had an Ex-PRESS mini glaucoma shunt device implantation (Optonol, Ltd., Neve Ilan, Israel) to those who had conventional trabeculectomy. PATIENTS AND METHODS The records of 76 eyes of 69 consecutive subjects who had Ex-PRESS implants and 77 eyes of 65 consecutive controls who had trabeculectom...

Preparation. The area of bulbar conjunctiva within the circumvallation was later removed en bloc with the 12 x 7 mm. area of sclera over the ciliary body. The bulbar conjunctiva was then incised just peripheral to the diathermy circumvallation and the incision was extended round the limbus to 12 o'clock and 6 o'clock. From each end radiating incisions 8 mm. long were made posteriorly. The conju...

INTRODUCTION Primary ectatic corneal diseases usually require rigid gas-permeable (RGP) corneal contact lens wear for visual rehabilitation. As the disease progresses, it becomes increasingly difficult to fit these lenses. RGP scleral contact lenses now provide another treatment option before resorting to surgery. CLINICAL PICTURE Two patients with pellucid marginal degeneration and one with ...

The role of sodium hyaluronate (Healonid) in trabeculectomy to prevent a shallow or flat anterior chamber and hypotonia in the immediate postoperative period is reported. Twenty-nine eyes of 27 patients were included in a randomised controlled study. Thirteen eyes had trabeculectomy alone, and 16 eyes had trabeculectomy performed with Healonid injected into the anterior chamber. The results sho...

PURPOSE To describe an adjustable suture (AS) experimental model that allows for tightening, loosening and retightening of the suture tension in trabeculectomy. METHODS Standard trabeculectomy was performed in fifteen pig eyeballs. All pig eyes were tested twice: one test with conventional suture in both flap's corners (conventional suture group) and another test with a conventional suture at...