Abstract
Objective To explore the clinical results of combined trabeculectomy with mitomycin C and removable sutures for stage Ⅱ neovascular glaucoma.Methods Thirty patients (30 eyes) in stage Ⅱ neovascular glaucoma were treated with trabeculectomy combined with mitomycin C and removable sutures. In the early postoperative period, removable sutures were removed when intraocular pressure (IOP) ≥15 mmHg with a flat bleb.The postoperative IOP, blebs and complications were recorded.The follow-up ranged from 12 to 48 months.Besults The mean preoperative IOP was (26.1± 3.2) mmHg, the mean postoperative IOP was (18.2± 2.1) mmHg, the difference was statistical significant (t=7.51, P<0.01 ).If success was defined as IOP <21mmHg without medication, the success rate of surgery was 56.7%.There were functional blebs in 17eyes. The incidence of hyphema was 40%, shallow anterior chamber was 13.3%, no other complications were ob-served.Conclusions Trabeculectomy with mitomycin C and removable sutures for stage Ⅱ neovascular glaucoma can effectively control IOP and do not induce serious complications.It is a safe and effective method of controlling IOP in stage Ⅱ of neovascular glaucoma. Key words: Neovascular glaucoma; Trabeculectomy
Published Version
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