A modified trabeculectomy technique with direct filtration into the Tenon's capsule.

IF 3.3 4区 医学 Q1 OPHTHALMOLOGY
Kaku Itoh, Shohei Suetake, Misaki Negishi, Suguru Murakami, Hiroyasu Katayama, Yurie Omori, Keigo Satoh
{"title":"A modified trabeculectomy technique with direct filtration into the Tenon's capsule.","authors":"Kaku Itoh, Shohei Suetake, Misaki Negishi, Suguru Murakami, Hiroyasu Katayama, Yurie Omori, Keigo Satoh","doi":"10.1016/j.jcjo.2024.08.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To report the surgical outcomes of a modified trabeculectomy technique involving implanting the Tenon's layer under the scleral flap.</p><p><strong>Design: </strong>Prospective, interventional case series.</p><p><strong>Participants: </strong>51 eyes with medically uncontrolled glaucoma were enrolled for this study. A new trabeculectomy technique, the Tenon's filtration technique for trabeculectomy (TFT-LEC) was used in 26 eyes, while a conventional procedure, normal trabeculectomy (N-LEC), was used for 25 eyes.</p><p><strong>Methods: </strong>Intraocular pressure (IOP) control, the number of glaucoma medications, the need for additional interventions, and postoperative complications were assessed.</p><p><strong>Results: </strong>Twelve months postoperatively, the mean IOP was 13.5 ± 0.5 mmHg in the TFT-LEC group and 15.4 ± 0.5 mmHg in the N-LEC group (p = 0.13). The TFT-LEC group required an average of 1.3 ± 1.0 additional glaucoma medications (21 cases required only ripasudil) postoperatively, with no cases of bleb needling revision or reoperation. The N-LEC group required an average of 1.7 ± 1.5 glaucoma medications (p = 0.43) compared to TFT-LEC group, eight cases (32%) required bleb needling revision (p = 0.002), and one case (4%) of reoperation (p = 0.49). The complications in the TFT-LEC group included shallow anterior chamber in six (23 %) cases (p = 1.00) compared to N-LEC group, choroidal detachment in two (8%) cases (p = 0.42), and anterior chamber hemorrhage in seven (27%) cases (p = 0.29). None of these complications affected visual function.</p><p><strong>Conclusions: </strong>This new technique involving implanting the Tenon's layer under the scleral flap may improve the postoperative outcomes of trabeculectomy.</p>","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jcjo.2024.08.004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To report the surgical outcomes of a modified trabeculectomy technique involving implanting the Tenon's layer under the scleral flap.

Design: Prospective, interventional case series.

Participants: 51 eyes with medically uncontrolled glaucoma were enrolled for this study. A new trabeculectomy technique, the Tenon's filtration technique for trabeculectomy (TFT-LEC) was used in 26 eyes, while a conventional procedure, normal trabeculectomy (N-LEC), was used for 25 eyes.

Methods: Intraocular pressure (IOP) control, the number of glaucoma medications, the need for additional interventions, and postoperative complications were assessed.

Results: Twelve months postoperatively, the mean IOP was 13.5 ± 0.5 mmHg in the TFT-LEC group and 15.4 ± 0.5 mmHg in the N-LEC group (p = 0.13). The TFT-LEC group required an average of 1.3 ± 1.0 additional glaucoma medications (21 cases required only ripasudil) postoperatively, with no cases of bleb needling revision or reoperation. The N-LEC group required an average of 1.7 ± 1.5 glaucoma medications (p = 0.43) compared to TFT-LEC group, eight cases (32%) required bleb needling revision (p = 0.002), and one case (4%) of reoperation (p = 0.49). The complications in the TFT-LEC group included shallow anterior chamber in six (23 %) cases (p = 1.00) compared to N-LEC group, choroidal detachment in two (8%) cases (p = 0.42), and anterior chamber hemorrhage in seven (27%) cases (p = 0.29). None of these complications affected visual function.

Conclusions: This new technique involving implanting the Tenon's layer under the scleral flap may improve the postoperative outcomes of trabeculectomy.

改良的小梁切除术,直接在腱膜囊内进行过滤。
目的:报告在巩膜瓣下植入腱膜层的改良小梁切除术的手术效果:报告在巩膜瓣下植入腱膜层的改良小梁切除术的手术效果:前瞻性、介入性病例系列:本研究共招募了 51 例药物无法控制的青光眼患者。26只眼睛采用了新的小梁切除术技术--腱膜滤过小梁切除术(TFT-LEC),25只眼睛采用了传统的小梁切除术(N-LEC):方法:评估眼压(IOP)控制情况、青光眼用药次数、是否需要额外干预以及术后并发症:术后 12 个月,TFT-LEC 组的平均眼压为 13.5 ± 0.5 mmHg,N-LEC 组为 15.4 ± 0.5 mmHg(P = 0.13)。TFT-LEC 组术后平均需要额外服用 1.3 ± 1.0 种青光眼药物(21 例只需服用利帕苏地),没有眼压计针刺修正或再次手术的病例。与TFT-LEC组相比,N-LEC组平均需要1.7±1.5种青光眼药物(p = 0.43),8例(32%)需要进行眼泡针扎修整(p = 0.002),1例(4%)需要再次手术(p = 0.49)。与 N-LEC 组相比,TFT-LEC 组的并发症包括:6 例(23%)前房变浅(p = 1.00);2 例(8%)脉络膜脱离(p = 0.42);7 例(27%)前房出血(p = 0.29)。这些并发症均未影响视功能:这项在巩膜瓣下植入腱膜层的新技术可改善小梁切除术的术后效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.20
自引率
4.80%
发文量
223
审稿时长
38 days
期刊介绍: Official journal of the Canadian Ophthalmological Society. The Canadian Journal of Ophthalmology (CJO) is the official journal of the Canadian Ophthalmological Society and is committed to timely publication of original, peer-reviewed ophthalmology and vision science articles.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信