Comparative study of trabeculectomy using single sutures versus releasable sutures

Juliane Matlach, Niels Hoffmann, Florentina J Freiberg, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyBackground: The purpose of this study was to compare the outcomes of trabeculectomy using single sutures or releasable sutures.Methods: This retros...

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Autores principales:	Matlach J, Hoffmann N, Freiberg FJ, Grehn F, Klink T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9570d308e49f498c8335cea0725a25b6
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spelling	oai:doaj.org-article:9570d308e49f498c8335cea0725a25b62021-12-02T07:08:42ZComparative study of trabeculectomy using single sutures versus releasable sutures1177-54671177-5483https://doaj.org/article/9570d308e49f498c8335cea0725a25b62012-07-01T00:00:00Zhttp://www.dovepress.com/comparative-study-of-trabeculectomy-using-single-sutures-versus-releas-a10337https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Juliane Matlach, Niels Hoffmann, Florentina J Freiberg, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyBackground: The purpose of this study was to compare the outcomes of trabeculectomy using single sutures or releasable sutures.Methods: This retrospective study analyzed the medical records of 61 patients who had undergone trabeculectomy using single sutures (n = 33, 54.1%) or releasable sutures (n = 28, 45.9%). The scleral flap was secured with a mean 3.9 (range 3&ndash;5) single sutures in 33 patients and with three releasable sutures in 28 patients. Primary outcomes were the success rate, based on intraocular pressure and medication usage, and the frequency of complications and postsurgical interventions. The criteria used to determine complete success were, first, intraocular pressure &lt;18 mmHg and, second, &le;21 mmHg and &ge;20% intraocular pressure reduction without glaucoma medication.Results: All patients had an intraocular pressure &le; 21 mmHg; 87.5% in the single suture group and 92.6% in the releasable suture group had an intraocular pressure &lt; 18 mmHg at 24 months. There was a highly significant reduction in intraocular pressure to baseline values in both groups at the last visit. Applying the first criterion, complete success was achieved in 57.6% of patients with single sutures and 71.4% with releasable sutures, and based on the second criterion, 66.7% and 71.4%, respectively. No significant difference was found between the groups with regard to intraocular pressure, or success or complication rates.Conclusion: The results of trabeculectomy using single sutures or releasable sutures are equivalent. Therefore, the choice of suture technique should be based on individual patient requirements and surgeon experience.Keywords: glaucoma surgery, trabeculectomy, releasable suture, laser suture lysisMatlach JHoffmann NFreiberg FJGrehn FKlink TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1019-1027 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Matlach J Hoffmann N Freiberg FJ Grehn F Klink T Comparative study of trabeculectomy using single sutures versus releasable sutures
description	Juliane Matlach, Niels Hoffmann, Florentina J Freiberg, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyBackground: The purpose of this study was to compare the outcomes of trabeculectomy using single sutures or releasable sutures.Methods: This retrospective study analyzed the medical records of 61 patients who had undergone trabeculectomy using single sutures (n = 33, 54.1%) or releasable sutures (n = 28, 45.9%). The scleral flap was secured with a mean 3.9 (range 3&ndash;5) single sutures in 33 patients and with three releasable sutures in 28 patients. Primary outcomes were the success rate, based on intraocular pressure and medication usage, and the frequency of complications and postsurgical interventions. The criteria used to determine complete success were, first, intraocular pressure &lt;18 mmHg and, second, &le;21 mmHg and &ge;20% intraocular pressure reduction without glaucoma medication.Results: All patients had an intraocular pressure &le; 21 mmHg; 87.5% in the single suture group and 92.6% in the releasable suture group had an intraocular pressure &lt; 18 mmHg at 24 months. There was a highly significant reduction in intraocular pressure to baseline values in both groups at the last visit. Applying the first criterion, complete success was achieved in 57.6% of patients with single sutures and 71.4% with releasable sutures, and based on the second criterion, 66.7% and 71.4%, respectively. No significant difference was found between the groups with regard to intraocular pressure, or success or complication rates.Conclusion: The results of trabeculectomy using single sutures or releasable sutures are equivalent. Therefore, the choice of suture technique should be based on individual patient requirements and surgeon experience.Keywords: glaucoma surgery, trabeculectomy, releasable suture, laser suture lysis
format	article
author	Matlach J Hoffmann N Freiberg FJ Grehn F Klink T
author_facet	Matlach J Hoffmann N Freiberg FJ Grehn F Klink T
author_sort	Matlach J
title	Comparative study of trabeculectomy using single sutures versus releasable sutures
title_short	Comparative study of trabeculectomy using single sutures versus releasable sutures
title_full	Comparative study of trabeculectomy using single sutures versus releasable sutures
title_fullStr	Comparative study of trabeculectomy using single sutures versus releasable sutures
title_full_unstemmed	Comparative study of trabeculectomy using single sutures versus releasable sutures
title_sort	comparative study of trabeculectomy using single sutures versus releasable sutures
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/9570d308e49f498c8335cea0725a25b6
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Comparative study of trabeculectomy using single sutures versus releasable sutures

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