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Summary
This study presents a surgical technique combining double trabeculectomy, episcleral resection, and anguloplasty for uncompensated open-angle glaucoma. The procedure effectively lowers intraocular pressure and preserves vision in most patients, especially those at high risk of scarring.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Surgical Techniques
Context:
- Uncompensated open-angle glaucoma presents a significant challenge in maintaining intraocular pressure (IOP).
- Existing surgical interventions may face limitations due to rapid cicatrization and failure.
- A need exists for robust surgical methods to ensure long-term IOP control.
Purpose:
- To evaluate the efficacy and safety of a combined surgical approach for uncompensated open-angle glaucoma.
- To assess the impact of double trabeculectomy with episclera resection and anguloplasty on IOP, visual acuity, and visual field.
- To determine the long-term functional outcomes of this surgical technique.
Summary:
- Forty-six patients (50 eyes) with primary open-angle glaucoma underwent the combined surgical procedure.
- Immediate normalization of ophthalmic tone was observed in 100% of cases.
- Follow-up in 30 patients (32 eyes) over 6 months to 2 years showed stable IOP normalization in 97%, visual acuity in 81%, and visual field in 91%.
Impact:
- The combined surgery demonstrates a good and stable hypotensive effect, making it suitable for high-risk patients.
- This technique offers a promising option for managing complex open-angle glaucoma cases prone to excessive scarring.
- Improved long-term IOP control can help prevent further vision loss in glaucoma patients.