Nonpenetrating deep sclerectomy versus trabeculectomy in bilateral primary open-angle glaucoma

To establish the efficacy and safety of nonpenetrating deep sclerectomy versus trabeculectomy in primary open-angle glaucoma.

Prospective randomized trial.

Thirty-nine patients (78 eyes) with bilateral primary open angle glaucoma were included in the study.

Eyes were randomly assigned to receive deep sclerectomy in one eye and trabeculectomy in the other eye.

Mean intraocular pressure (IOP), postoperative medications, visual acuity, success rate, and complications.

At 12 months, mean IOP reduction was 12.3 +/- 4.2 (sclerectomy) versus 14.1 +/- 6.4 mmHg (trabeculectomy) (P = 0.15), and an IOP

Deep sclerectomy may provide comparable IOP reduction with fewer complications in management of primary open angle glaucoma.