Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients

Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients

Utako Kuroda, Toshihiro Inoue, Nanako Awai-Kasaoka, Kohei Shobayashi, Sachi Kojima, Hidenobu TaniharaDepartment of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Kumamoto, JapanPurpose: To compare the surgical outcomes of limbal-based and fornix-based trabeculectomy in eyes with a hi...

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Autores principales: Kuroda U, Inoue T, Awai-Kasaoka N, Shobayashi K, Kojima S, Tanihara H
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/fcd683aee1884dcab7421c33e17aedbc
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spelling oai:doaj.org-article:fcd683aee1884dcab7421c33e17aedbc2021-12-02T00:12:08ZFornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients1177-5483https://doaj.org/article/fcd683aee1884dcab7421c33e17aedbc2014-05-01T00:00:00Zhttp://www.dovepress.com/fornix-based-versus-limbal-based-conjunctival-flaps-in-trabeculectomy--a16841https://doaj.org/toc/1177-5483 Utako Kuroda, Toshihiro Inoue, Nanako Awai-Kasaoka, Kohei Shobayashi, Sachi Kojima, Hidenobu TaniharaDepartment of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Kumamoto, JapanPurpose: To compare the surgical outcomes of limbal-based and fornix-based trabeculectomy in eyes with a history of ocular incisional surgery.Methods: Twenty-six eyes underwent limbal-based trabeculectomy (group LB), and were condition matched with 26 eyes that received fornix-based trabeculectomy (group FB). Surgical failure was recorded retrospectively if the intraocular pressure value was either ≥21, ≥18, and ≥15 mmHg (conditions A, B, and C, respectively) or <4 mmHg or if the patient required additional glaucoma surgery. Kaplan–Meier survival curve analysis was used to assess surgical failure.Results: For condition A, the 2 year surgical success probabilities were 75.0% and 63.9% in groups FB and LB, respectively (P=0.124). The corresponding values were 55.0% and 61.7% (P=0.638) in condition B, and 55.0% and 57.0% (P=0.454) in condition C. The rates of bleb leakage, hypotony, choroidal detachment, and bleb-related infection were 11.5%, 26.9%, 50.0%, and 7.7% in group LB, respectively. The corresponding values in group FB were 30.8%, 23.1%, 46.2%, and 0.0%, which were not statistically different between the two groups.Conclusion: No significant differences in surgical outcomes were observed between limbal-based and fornix-based trabeculectomy for patients with a history of incisional ocular surgeries.Keywords: trabeculectomy, previous surgery, surgical outcomes, surgical complicationsKuroda UInoue TAwai-Kasaoka NShobayashi KKojima STanihara HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 949-954 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Kuroda U
Inoue T
Awai-Kasaoka N
Shobayashi K
Kojima S
Tanihara H
Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
description Utako Kuroda, Toshihiro Inoue, Nanako Awai-Kasaoka, Kohei Shobayashi, Sachi Kojima, Hidenobu TaniharaDepartment of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Kumamoto, JapanPurpose: To compare the surgical outcomes of limbal-based and fornix-based trabeculectomy in eyes with a history of ocular incisional surgery.Methods: Twenty-six eyes underwent limbal-based trabeculectomy (group LB), and were condition matched with 26 eyes that received fornix-based trabeculectomy (group FB). Surgical failure was recorded retrospectively if the intraocular pressure value was either ≥21, ≥18, and ≥15 mmHg (conditions A, B, and C, respectively) or <4 mmHg or if the patient required additional glaucoma surgery. Kaplan–Meier survival curve analysis was used to assess surgical failure.Results: For condition A, the 2 year surgical success probabilities were 75.0% and 63.9% in groups FB and LB, respectively (P=0.124). The corresponding values were 55.0% and 61.7% (P=0.638) in condition B, and 55.0% and 57.0% (P=0.454) in condition C. The rates of bleb leakage, hypotony, choroidal detachment, and bleb-related infection were 11.5%, 26.9%, 50.0%, and 7.7% in group LB, respectively. The corresponding values in group FB were 30.8%, 23.1%, 46.2%, and 0.0%, which were not statistically different between the two groups.Conclusion: No significant differences in surgical outcomes were observed between limbal-based and fornix-based trabeculectomy for patients with a history of incisional ocular surgeries.Keywords: trabeculectomy, previous surgery, surgical outcomes, surgical complications
format article
author Kuroda U
Inoue T
Awai-Kasaoka N
Shobayashi K
Kojima S
Tanihara H
author_facet Kuroda U
Inoue T
Awai-Kasaoka N
Shobayashi K
Kojima S
Tanihara H
author_sort Kuroda U
title Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
title_short Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
title_full Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
title_fullStr Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
title_full_unstemmed Fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin C in high-risk patients
title_sort fornix-based versus limbal-based conjunctival flaps in trabeculectomy with mitomycin c in high-risk patients
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/fcd683aee1884dcab7421c33e17aedbc
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