AI Summary & Key Takeaways
AI InsightConclusion: Laser suture lysis is a safe and effective method in the management of the patients in whom the target IOP was not reached after trabeculectomy.
📌 3 Key Takeaways
Abstract
Purpose: To evaluate the effectiveness of laser suture lysis after Trabeculectomy Materials and Methods: We evaluated retrospectively 18 eyes of 18 patients who had laser suture lysis (500-1000 mW, 0,05 sec, 50 μ) among 285 eyes of 230 patients who had trabeculectomy between April 1993 and April 2004 and who was followed for at least 1 year in the glaucoma department of our clinic. Results: Nine of the patients were male and nine of them were female, and the mean age was 68.5±9.1. Mean interval between trabeculectomy and suture lysis was 24.9±20.7 days (1 week-2.75 months). Mean intraocular pressure (IOP) before laser suture lysis was 20.2±5.4 mmHg, and the mean IOP measured just after suture lysis was 8.1±4.3. The difference between the two measurement was statistically significant (p<0.001) and a mean drop of 12.7±5.5 mmHg (60%) was obtained. Patients were followed for 20.4±5.5 months (12-30 months). Mean IOP at the last visit was 12.88± 2.74 mmHg. 7.2±6.7 mmHg (29%) drop in IOP at the last visit compared to the mean IOP before laser suture lysis was also statistically significant (p<0.001). Two of the eyes had hypotony and choroidal detachment after suture lysis, no other complication was observed. Conclusion: Laser suture lysis is a safe and effective method in the management of the patients in whom the target IOP was not reached after trabeculectomy.
Özet
Amaç: Trabekülektomi sonrası yapılan lazer sütür lizisin etkinliğini değerlendirmek. Gereç ve Yöntem: Hastanemiz glokom biriminde Nisan 1993-Nisan 2004 arasında trabekülektomi uygulanmış ve 1 yıl düzenli takip edilmiş 230 olgunun 285 gözü arasında laser sütür lizis (500-1000 mW, 0,05 sn süreyle, 50 μ büyüklükte) uygulanmış olan 18 olgunun 18 gözü geriye dönük olarak incelendi. Bulgular: Olguların 9’u kadın, 9’u erkek olup ortalama yaş 68.5±9.1 idi. Trabekülektomi ile sütür lizis arasında geçen süre ortalama 24.9±20.7 gün (1 hafta-2,75 ay) idi. Laser sütür lizis öncesi göz içi basıncı (GİB) ortalaması 20.2±5.4 mmHg, lazerden hemen sonra ölçülen GİB ortalaması 8.1±4.3 mmHg idi. Aradaki fark istatistiksel olarak anlamlıydı (p<0,001) ve ortalama 12.7±5.5 mmHg (%60) düşüş sağlandı. Ortalama takip süresi 20.4±5.5 aydı (12-30 ay). Olguların son muayenesindeki GİB ortalaması 12.9±2.7 mmHg idi. Laser sütür lizis öncesi GİB’e göre 7.2±6.7 mmHg (%29)’lik düşüş de istatistiksel olarak anlamlıydı (p<0.001). Olguların 2’sinde sütür lizis sonrası hipotoni ve koroid dekolmanı dışında komplikasyona rastlanmadı. Sonuç: Lazer sütür lizis trabekülektomi sonrası hedef GİB’na ulaşılamayan olguların tedavisinde etkili ve güvenli bir yöntemdir.