About MEAJO | Editorial board | Search | Ahead of print | Current Issue | Archives | Instructions to authors | Online submission | Subscribe | Advertise | Contact | Login 
Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
Users Online: 1016   Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Year : 2011  |  Volume : 18  |  Issue : 4  |  Page : 292-297

Combined viscocanalostomy-trabeculectomy for management of advanced Glaucoma- A comparative study of the contralateral eye: A pilot study

1 Department of Glaucoma and Cataract, Magrabi Eye and Ear Center, Jeddah, Saudi Arabia; Department of Ophthalmology, Tanta University, Egypt
2 Department of Glaucoma and Cataract, Magrabi Eye and Ear Center, Jeddah, Saudi Arabia

Correspondence Address:
Tarek M Eid
Glaucoma & Cataract Unit, Magrabi Eye & Ear Center, Madina Road, P.O Box 20377, Jeddah 21455, Saudi Arabia

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.90130

Rights and Permissions

Purpose : To compare combined viscocanalostomy-trabeculectomy (VISCO-TRAB) to trabeculectomy (TRAB) for the management of advanced glaucoma. Materials and Methods : The study cohort comprised of 18 subjects with bilateral advanced glaucoma who underwent VISCO-TRAB surgery (VISCO-TRAB group) in the right eye and TRAB (TRAB group) in the left eye. VISCO-TRAB constituted lamellar scleral flap, deep scleral flap dissection with deroofing of Schlemm's canal (SC), viscodilation of SC, penetrating trabeculectomy, peripheral iridectomy, and tight flap closure. All eyes received subconjunctival mitomycin. Success criteria included intraocular pressure (IOP) < 14 mmHg or > 30% lowering of IOP with no devastating complications. A P value less than 0.05 was considered statistically significant. Results : Mean IOP was significantly lower after VISCO-TRAB compared to TRAB at 1 week and 3 months postoperatively (P<0.05). No eyes lost more than two lines of Snellen acuity. There were more hypotony-related complications after TRAB than VISCO-TRAB surgery. Target IOP was achieved in 83.3% in the VISCO-TRAB group compared to 55.6% in the TRAB group. Conclusion : Combined VISCO-TRAB is effective in reducing IOP to the target level for advanced glaucoma with lower postoperative complications.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded193    
    Comments [Add]    
    Cited by others 1    

Recommend this journal