PURPOSE:To investigate the effect of the timing of the scleral flap suture release on the safety and long-term success of phacotrabeculectomy.DESIGN:Retrospective,nonrandomized chart review.METHODS:We studied 173 eyes...PURPOSE:To investigate the effect of the timing of the scleral flap suture release on the safety and long-term success of phacotrabeculectomy.DESIGN:Retrospective,nonrandomized chart review.METHODS:We studied 173 eyes of 173 consecutive patients who underwent primary phacotrabeculectomy,with or without intraoperative mitomycin-C,and subsequent scleral flap suture release.RESULTS:Early suture release(< 3 weeks)had a lower long-term success rate than late suture release(> 3 weeks),with an average follow-up period of 44.8 months.Patients who used mitomycin-C had statistically later suture release than did patients without mitomycin-C.There were nine cases of hypotony,for which independent risk factors were early suture release and the use of mitomycin-C.CONCLUSIONS:Greater long-term success with minimal complications was achieved when scleral flap suture release was performed three weeks after phacotrabeculectomy.Suture release within three weeks after surgery was associated with an increased risk of filtration failure and a higher risk of postoperative complications.展开更多
目的探讨小梁切除可调节巩膜瓣缝线早期浅前房及处理。方法对我院31例(39眼)行小梁切除可调节巩膜瓣缝线病历进行分析和探讨。结果出院眼压均在8~14 mm Hg,浅前房4眼,占10.26%。结论小梁切除可调节巩膜缝线术后发生浅前房的并发症少,...目的探讨小梁切除可调节巩膜瓣缝线早期浅前房及处理。方法对我院31例(39眼)行小梁切除可调节巩膜瓣缝线病历进行分析和探讨。结果出院眼压均在8~14 mm Hg,浅前房4眼,占10.26%。结论小梁切除可调节巩膜缝线术后发生浅前房的并发症少,眼压控制良好,是治疗青光眼安全有效的方法。展开更多
文摘PURPOSE:To investigate the effect of the timing of the scleral flap suture release on the safety and long-term success of phacotrabeculectomy.DESIGN:Retrospective,nonrandomized chart review.METHODS:We studied 173 eyes of 173 consecutive patients who underwent primary phacotrabeculectomy,with or without intraoperative mitomycin-C,and subsequent scleral flap suture release.RESULTS:Early suture release(< 3 weeks)had a lower long-term success rate than late suture release(> 3 weeks),with an average follow-up period of 44.8 months.Patients who used mitomycin-C had statistically later suture release than did patients without mitomycin-C.There were nine cases of hypotony,for which independent risk factors were early suture release and the use of mitomycin-C.CONCLUSIONS:Greater long-term success with minimal complications was achieved when scleral flap suture release was performed three weeks after phacotrabeculectomy.Suture release within three weeks after surgery was associated with an increased risk of filtration failure and a higher risk of postoperative complications.