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Iris from Iridectomy Used as Spacer underneath the Scleral Flap: The Iridenflip Trabeculectomy Technique
Joint Authors
De Groot, Veva
Aerts, Liselotte
Kiekens, Stefan
Coeckelbergh, Tanja
Tassignon, Marie-José
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Purpose.
We describe a modified trabeculectomy technique in which the iris is used to prevent fibrosis of the scleral flap.
Material and Methods.
A retrospective case series of patients with medically uncontrolled open angle glaucoma underwent trabeculectomy.
Instead of performing a classical iridectomy, the iris was used as spacer underneath the scleral flap.
Postoperative management was identical to classical trabeculectomy, with suture removal and needling if necessary.
Five of the patients underwent simultaneous phacoemulsification through a separate temporal corneal incision.
Patients should have two-year follow-up.
Results.
Data of ten patients were analysed, two had a previous failed trabeculectomy, two had LTP, and one had a corneal transplantation.
In 3 patients MMC 0,1 mg/mL was used.
After one and two years mean IOP was, respectively, 13,1 and 12,1 mmHg.
IOP ≤ 16 mmHg was reached in 90% of patients without pressure lowering medication.
No major complications were seen; no abnormal inflammatory reaction and no deformation or dislocation of the pupil occurred.
Conclusion.
By using the iris from the iridectomy as spacer under the scleral flap, fibrosis of the scleral flap is no longer possible.
This iridenflip trabeculectomy technique gives an excellent complete success rate (IOP ≤ 16 mmHg) of 90%.
A larger study is currently being done.
American Psychological Association (APA)
De Groot, Veva& Aerts, Liselotte& Kiekens, Stefan& Coeckelbergh, Tanja& Tassignon, Marie-José. 2015. Iris from Iridectomy Used as Spacer underneath the Scleral Flap: The Iridenflip Trabeculectomy Technique. Journal of Ophthalmology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1069706
Modern Language Association (MLA)
De Groot, Veva…[et al.]. Iris from Iridectomy Used as Spacer underneath the Scleral Flap: The Iridenflip Trabeculectomy Technique. Journal of Ophthalmology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1069706
American Medical Association (AMA)
De Groot, Veva& Aerts, Liselotte& Kiekens, Stefan& Coeckelbergh, Tanja& Tassignon, Marie-José. Iris from Iridectomy Used as Spacer underneath the Scleral Flap: The Iridenflip Trabeculectomy Technique. Journal of Ophthalmology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1069706
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1069706