Stab Incision Glaucoma Surgery: A Modified Guarded Filtration Procedure for Primary Open Angle Glaucoma
Joint Authors
Jacob, Soosan
Figus, Michele
Ashok Kumar, Dhivya
Agarwal, Ashvin
Agarwal, Amar
Areeckal Incy, Saijimol
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To describe a modified guarded filtration surgery, stab incision glaucoma surgery (SIGS), for primary open angle glaucoma (POAG).
Methods.
This prospective, interventional case series included patients with POAG (IOP ≥21 mmHg with glaucomatous visual field defects).
After sliding superior conjunctiva down over limbus, 2.8 mm bevel-up keratome was used to create conjunctival entry and superficial corneoscleral tunnel in a single step starting 1.5 mm behind limbus.
Lamellar corneoscleral tunnel was carefully dissected 0.5–1 mm into cornea and anterior chamber (AC) was entered.
Kelly Descemet’s punch (1 mm) was slid along the tunnel into AC to punch internal lip of the tunnel, thereby compromising it.
Patency of ostium was assessed by injecting fluid in AC and visualizing leakage from tunnel.
Conjunctival incision alone was sutured.
Results.
Mean preoperative IOP was 27.41±5.54 mmHg and mean postoperative IOP was 16.47±4.81 mmHg (n=17).
Mean reduction in IOP was 38.81±16.55%.
There was significant reduction of IOP (p<0.000).
64.7% had IOP at final follow-up of <18 mmHg without medication and 82.35% had IOP <18 mmHg with ≤2 medications.
No sight threatening complications were encountered.
Conclusion.
Satisfactory IOP control was noted after SIGS in interim follow-up (14.18±1.88 months).
American Psychological Association (APA)
Jacob, Soosan& Figus, Michele& Ashok Kumar, Dhivya& Agarwal, Ashvin& Agarwal, Amar& Areeckal Incy, Saijimol. 2016. Stab Incision Glaucoma Surgery: A Modified Guarded Filtration Procedure for Primary Open Angle Glaucoma. Journal of Ophthalmology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1109908
Modern Language Association (MLA)
Jacob, Soosan…[et al.]. Stab Incision Glaucoma Surgery: A Modified Guarded Filtration Procedure for Primary Open Angle Glaucoma. Journal of Ophthalmology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1109908
American Medical Association (AMA)
Jacob, Soosan& Figus, Michele& Ashok Kumar, Dhivya& Agarwal, Ashvin& Agarwal, Amar& Areeckal Incy, Saijimol. Stab Incision Glaucoma Surgery: A Modified Guarded Filtration Procedure for Primary Open Angle Glaucoma. Journal of Ophthalmology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1109908
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1109908