Document Type
Original Article
Abstract
Background: Glaucoma is the sneak thief of vision and one of the leading causes of blindness if untreated, neural damage caused by glaucoma is irreversible. Objective: To compare subscleral trabeculectomy (SST) with non-penetrating deep sclerectomy (NPDS) by examining intraocular pressure (IOP), complications, surgical success rate, and preoperative and postoperative best-corrected visual acuity (BCVA). Patients and Methods: Two groups of equal size each included 25 eyes of 25 patiants. Group 1 included patients who had NPDS and Group 2 included patients who had SST with Mitomycin C (MMC) 0.2mg/ml for 2 min . Patients were deemed to have achieved complete success if their intraocular pressure (IOP) was less than 18 mm Hg., whereas patients with IOP higher than 18 mm Hg with medication were considered unsuccessful .Between September 2019 and October 2021, the Ophthalmology Department of Al Azhar University Hospital conducted this prospective comparative study. Results: In the deep sclerectomy group, 17 patients (68%) experienced total success and partial success in 6 patients (24%). In the trabeculectomy group, full success was attained in 19 patients (76%) and partial success in 5 patients (20%). Conclusions: Ttrabeculectomy and deep sclerectomy can be performed in patients with POAG in order to control IOP. Both technique are effective in controlling IOP but complications were higher in the trabeculectomy group.
Keywords
Glaucoma; Deep sclerectomy; Trabeculectomy
Subject Area
Ophthalmology
How to Cite This Article
Mostafa, Ramadan Mohamed Abdel Rahman; Khalil, Hisham Fawzy; and Mahdy, Ahmed Gomaa El
(2023)
"Deep sclerectomy versus trabeculectomy assisted with mitomycin c in management of primary open angle glaucoma.,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
5, Article 21.
DOI: https://doi.org/10.58675/2682-339X.1830
