Abstract:AIM:To discuss the application effect of adjustable sutures in glaucoma filtering operation after trabecular resection.
METHODS: Seventy-eight cases(101 eyes)suffered from glaucoma were randomly divided into two groups, observation group and control group. Thirty-nine cases(51 eyes)in the observation group underwent trabeculectomy with adjustable sutures, the control group(39 cases, 50 eyes)only adopted trabeculectomy.
RESULTS: Compared Preoperative IOP in two groups, the difference was not statistically significant(P>0.05). After 6mo, IOP were decreased compared with preoperative in two groups, and that in observation group was lower than control group, the difference was statistically significant(P<0.05). Six months after operation, there were 1 eye with shallow anterior chamber Ⅰ and 2 eyes with non-functional bleb in observation group, and the complication rate was 5.9%. While there were of 6 eyes with shallow anterior chamber, in which 4 eyes at grade Ⅰ, each one at grade Ⅱ and Ⅲ. Non-functional blebs in 5 eyes and a scleral flap adhesion complications rate in the control group was 24.0%, significantly higher than that in the observation group, the difference was statistically significant(P<0.01).
CONCLUSION: The adjustable sutures combined with trabeculectomy for glaucoma can significantly reduce the postoperative complications. The curative effect is exact and clinically applicable.
