Kết quả lâm sàng kỹ thuật khâu nắp củng mạc tăng cường trong phẫu thuật cắt bè

Abstract

Objective: To evaluate the effectiveness of enhanced scleral flap sutures in trabeculectomy and describing the postoperative complications encountered in the study. Subject and method: A total of 30 eyes (28 patients) with indications for trabeculectomy surgery when intraocular pressure is not controlled with medication with various glaucoma forms. After routine trabeculectomy, the scleral flap will be closed tightly with a 10/0 U-shaped suture. This suture will be removed in the postoperative period depending on the development of intraocular pressure. The results of visual acuity, intraocular pressure and postoperative complications were recorded at 1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months and 6 months after surgery. Result: Average visual acuity before surgery 0.39 ± 0.48 logMAR; after 1 week 0.51 ± 0.49; 1 month 0.41 ± 0.45; 3 months 0.36 ± 0.41; 6 months 0.38 ± 0.45 logMAR. Average intraocular pressure before surgery 28.8 ± 9.1 mmHg, after surgery 1 day 24.5 ± 13.5; 3 days 18.5 ± 7.6; 7 days 14.4 ± 3.6; 2 weeks; 1 month 14.9 ± 4.7; 3 months 16.5 ± 6.4; 6 months 15.7 ± 3.9mmHg. Early complications within 1 month after surgery included 1 shallow anterior chamber, 1 choroidal effusion, 4 low intraocular pressure, and 1 wound leak. There were no complications of aqueous misdirection syndrome, suprachoroidal hemorrhage, cystoid macular edema, vision loss. The mean preoperative medication use was 3.9 ± 0.8; 6 months after surgery, it was 0.8 ± 0.6. The success rate was 70%, the relative success rate was 23.3%, and the failure rate requiring further surgery was 6.7%. Conclusion: Additional scleral flap suturing technique with U-shaped suture significantly reduces early complications of trabeculectomy and does not affect the final outcome of surgery.