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| Clinical effect of complex trabeculectomy on glaucoma patients with thin Tenon's capsule |
| MA Yinghui YANG Jie FU Xiaoxiao DONG Weili |
| Department of Ophthalmology, Affiliated Hospital of Chengde Medical College, Hebei Province, Chengde 067000, China |
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Abstract Objective To explore the effect of complex trabeculectomy for glaucoma patients with thin Tenon's capsule. Methods 63 primary glaucoma patients (63 eyes) with thin Tenon's capsule treated in Affiliated Hospital of Chengde Medical College from August 2014 to August 2016 were enrolled retrospectively in the study. All patients accepted trabeculectomy with intraoperative appropriate application of Mitomycin. All patients were observed closely after surgery and accepted early needle suture cut if necessary. The early postoperative anterior chamber formation, filtering bleb and intraocular pressure were observed. The long-term effect of 6 months of follow-up was observed. Results Postoperative 1 month, 60 cases (95.24%) were successful, including 31 cases (93.94%) with Mitomycin, 29 cases (96.67%) without Mitomycin, the difference was not statistically significant (P ＞ 0.05). Type Ⅰ filtering blebs were observed in 7 cases (21.21%) with Mitomycin, and 1 case (3.33%) without Mitomycin, the difference was statistically significant (P < 0.05). Postoperative 6 months, 52 cases (82.54%) were successful, including 30 cases (90.91%) with Mitomycin, 22 cases (73.33%) without Mitomycin, the difference was statistically significant (P ＜ 0.05). Type Ⅰ filtering blebs were observed in 10 cases (30.3%) with Mitomycin, and 2 case (6.67%) without Mitomycin, the difference was statistically significant (P < 0.05). The mean intraocular pressure at 1 week, 1 month and 6 months after operation was (12.63±2.29), (13.69±2.43), (15.33±1.88) mmHg, respectively, those were significantly decreased than that before operation, the differences were statistically significant (P < 0.05). Conclusion Complex trabeculectomy is effective for primary glaucoma with thin Tenon's capsule, early needle suture cut after operation for primary glaucoma with thin Tenon's capsule is simple and effective. It is worthy of promotion and application in primary hospitals.
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