공막편 봉합을 변형한 섬유주절제술과 기존 섬유주절제술의 수술 결과 비교

• 영문명: Results of Trabeculectomy Using Modified Scleral Flap Suture Technique in Comparison with Standard Trabeculectomy
• 발행기관: 대한안과학회
• 저자명: 안정현 장무환 이종훈,Jung Hyun Ahn, M.D., Moo Hwan Jang, M.D., Jong-Hoon Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number6, 925~934쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.06.15

영문 초록

Purpose: To evaluate the efficacy of trabeculectomy using modified scleral flap suture technique Methods: We retrospectively reviewed the medical records of 52 patients (55 eyes) who had undergone trabeculectomy from January 2003 to January 2007. Standard trabeculectomy was performed for 29 eyes of 27 patients, modified trabeculectomy for 26 eyes of 25 patients. We changed suture site of scleral flap corner about 1mm medially from original site and added tight suture to both lateral margins of scleral flap to prevent overflow in modified group. In both groups, most of patients were injected 0.1 ml of 0.02 mg/ml mitomycin-C (MMC) subconjunctivally and the others 0.1 ml of 0.04 mg/ml MMC. We evaluated intraocular pressure (IOP), complication, morphology of filtering bleb, cumulative success rates. Results: Argon laser suturelysis was performed postoperatively in about half cases of both groups. The IOPs of modified group were consistently lower than those of standard group for 24 months except postoperative 1 day and 1 week. There was a significant difference of IOP at postoperative 2 months and 12 months (p<0.05). No significant difference of complications was found between two groups. The diffuse bleb with microcyst was found in 19 eyes (73%) of modified group and 17 eyes (59%) of standard group. From Kaplan-Meier survival analysis, cumulative success rates of modified group were higher than those of standard group (p<0.05). Conclusions: Trabeculectomy using modified scleral flap suture appears to give better IOP control than standard trabeculectomy. J Korean Ophthalmol Soc 49(6):925-934, 2008

키워드

Argon laser suture lysis, Mitomycin-C (MMC), Modified trabeculectomy