Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study
Introduction: Glaucoma is a group of multifactorial, irreversible, progressive optic neuropathies characterised by the loss of retinal ganglion cells. Trabeculectomy has been widely accepted as the gold-standard intervention for glaucoma for more than 30 years. A newer technique, microtrabeculectomy...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/20469/75537_CE[Ra1]_QC(AnK)_F(SHU)_PF1(RI_SS)_PFA(SS)_PN(IS).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841543450184384512 |
|---|---|
| author | Rekha Ramesh Mudhol Ameena Shirin |
| author_facet | Rekha Ramesh Mudhol Ameena Shirin |
| author_sort | Rekha Ramesh Mudhol |
| collection | DOAJ |
| description | Introduction: Glaucoma is a group of multifactorial, irreversible, progressive optic neuropathies characterised by the loss of retinal ganglion cells. Trabeculectomy has been widely accepted as the gold-standard intervention for glaucoma for more than 30 years. A newer technique, microtrabeculectomy, was introduced to overcome the ocular complications encountered with Conventional Trabeculectomy (CT).
Aim: To compare the efficacy of microtrabeculectomy with CT in treating Primary Open-angle Glaucoma (POAG).
Materials and Methods: A prospective interventional study was conducted in the Department of Ophthalmology at Shri BM Patil Medical College Hospital and Research Centre (tertiary care centre), BLDE (DU), Vijayapura, North Karnataka, India, from June 2023 to August 2024. The study included 16 cases diagnosed with POAG, divided into two groups of eight patients each: Group-I- Microtrabeculectomy and Group-II- CT. Preoperative baseline characteristics were documented for all cases. They were followed-up for a three-month period to check for Intraocular Pressure (IOP) and any complications.
Results: The mean preoperative and three-month postoperative IOP in Group-I was 30.75±6.04 and 13.87±2.80 mmHg, respectively, whereas in Group-II, it was 30.0±7.27 and 14.12±2.80 mmHg, respectively. The difference was statistically significant between the two groups (p<0.001). However, the differences in postoperative IOP values at the follow-ups and the differences in preoperative IOP values between both groups were not statistically significant (p>0.05). Intraoperative and postoperative complications were observed more frequently in Group-II compared to Group-I.
Conclusion: Microtrabeculectomy is a safe procedure with efficacy comparable to CT for reducing IOP, while producing good filtering blebs with fewer complications. |
| format | Article |
| id | doaj-art-304ccc2b999940fbaa27672f827d3d79 |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-304ccc2b999940fbaa27672f827d3d792025-01-13T11:37:24ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901010410.7860/JCDR/2025/75537.20469Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional StudyRekha Ramesh Mudhol0Ameena Shirin1Professor and Head, Department of Ophthalmology, Shri BM Patil Medical College, Hospital and Research Centre, Bangaramma Sajjan Campus, Vijayapura, Karnataka, India.Postgraduate, Department of Ophthalmology, Shri BM Patil Medical College, Hospital and Research Centre, Bangaramma Sajjan Campus, Vijayapura, Karnataka, India.Introduction: Glaucoma is a group of multifactorial, irreversible, progressive optic neuropathies characterised by the loss of retinal ganglion cells. Trabeculectomy has been widely accepted as the gold-standard intervention for glaucoma for more than 30 years. A newer technique, microtrabeculectomy, was introduced to overcome the ocular complications encountered with Conventional Trabeculectomy (CT). Aim: To compare the efficacy of microtrabeculectomy with CT in treating Primary Open-angle Glaucoma (POAG). Materials and Methods: A prospective interventional study was conducted in the Department of Ophthalmology at Shri BM Patil Medical College Hospital and Research Centre (tertiary care centre), BLDE (DU), Vijayapura, North Karnataka, India, from June 2023 to August 2024. The study included 16 cases diagnosed with POAG, divided into two groups of eight patients each: Group-I- Microtrabeculectomy and Group-II- CT. Preoperative baseline characteristics were documented for all cases. They were followed-up for a three-month period to check for Intraocular Pressure (IOP) and any complications. Results: The mean preoperative and three-month postoperative IOP in Group-I was 30.75±6.04 and 13.87±2.80 mmHg, respectively, whereas in Group-II, it was 30.0±7.27 and 14.12±2.80 mmHg, respectively. The difference was statistically significant between the two groups (p<0.001). However, the differences in postoperative IOP values at the follow-ups and the differences in preoperative IOP values between both groups were not statistically significant (p>0.05). Intraoperative and postoperative complications were observed more frequently in Group-II compared to Group-I. Conclusion: Microtrabeculectomy is a safe procedure with efficacy comparable to CT for reducing IOP, while producing good filtering blebs with fewer complications.https://www.jcdr.net/articles/PDF/20469/75537_CE[Ra1]_QC(AnK)_F(SHU)_PF1(RI_SS)_PFA(SS)_PN(IS).pdfbest corrected visual acuitycup disc ratiofiltration surgeryintraocular pressure |
| spellingShingle | Rekha Ramesh Mudhol Ameena Shirin Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study Journal of Clinical and Diagnostic Research best corrected visual acuity cup disc ratio filtration surgery intraocular pressure |
| title | Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study |
| title_full | Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study |
| title_fullStr | Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study |
| title_full_unstemmed | Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study |
| title_short | Microtrabeculectomy versus Conventional Trabeculectomy in Primary Open Angle Glaucoma: A Prospective Interventional Study |
| title_sort | microtrabeculectomy versus conventional trabeculectomy in primary open angle glaucoma a prospective interventional study |
| topic | best corrected visual acuity cup disc ratio filtration surgery intraocular pressure |
| url | https://www.jcdr.net/articles/PDF/20469/75537_CE[Ra1]_QC(AnK)_F(SHU)_PF1(RI_SS)_PFA(SS)_PN(IS).pdf |
| work_keys_str_mv | AT rekharameshmudhol microtrabeculectomyversusconventionaltrabeculectomyinprimaryopenangleglaucomaaprospectiveinterventionalstudy AT ameenashirin microtrabeculectomyversusconventionaltrabeculectomyinprimaryopenangleglaucomaaprospectiveinterventionalstudy |