Abstract
AbstractPurpose To establish the efficacy and safety of non penetrating deep sclerectomy versus trabeculectomy in primary open‐angle glaucoma.Methods A Prospective randomized trial of fifteen patients (30 eyes) with bilateral primary open angle glaucoma were included in the study. Eyes were randomly assigned to receive deep sclerectomy in one eye and trabeculectomy in the other eye. Outcome Measures included :mean intraocular pressure (IOP), postoperative medications, visual acuity, success rate, and complications.Results At 12 months, mean IOP reduction was 11.5 +/‐ 3.5 (sclerectomy) versus 13.2 +/‐ 4,4mmHg (trabeculectomy) (P = 0.12), and an IOP </= 21 mmHg was achieved in 13 (86,6%) and 14 eyes (93.3%) (P = 0.9), respectively. Complications included two (13,3%) flat/shallow anterior chambers and one (6.6%) hypotony (trabeculectomy), whereas internal iris incarceration was encountered in two eyes (13,3%) (sclerectomy).Conclusion Deep sclerectomy may provide comparable IOP reduction with fewer complications in management of primary open angle glaucoma.
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