2Department of Ophthalmology, Medical Faculty of Atatürk University, Erzurum, Türkiye DOI : 10.37844/TJ-CEO.2024.19.21 Purpose: o evaluate the long-term results of trabeculectomy using Mitomycin-C (MMC) and releasable suture technique in various types of glaucoma.
Materials and Methods: Patients who underwent trabeculectomy by the same surgeon between May 2003 and June 2013 at Atatu?rk University Faculty of Medicine Department of Ophthalmology were retrospectively analyzed. Patients who were followed up for at least 6 months in the postoperative period and had regular follow-up for 10 years were included in the study. Intraocular pressure (IOP) of 18 mm Hg or less with or without medication was considered as success. IOP was measured with an applanation tonometry.
Results: In our study, 100 eyes of 87 patients, 60 males (68.96%) and 27 females (31.04%) were included. The mean age of the patients was 61.8±14 years. The follow-up period was between 6 months and 120 months with a mean of 30.5 months. During the follow-up period, IOP was maintained below 18 mmHg in a total of 87 eyes (87%), 63 eyes (63%) without medication and 24 eyes (24%) with medication, and no progression was observed. Postoperative complications were seen in 18 eyes (18%). Shallow anterior chamber and hypotonia in 7 eyes (7%), hyphema in 4 eyes (4%), hypotonia in 3 eyes (3%), fibrin reaction in 2 eyes (2%), choroidal detachment in 2 eyes (2%). Late complication was hypopyon keratitis in 1 eye (1%) 1 year after the operation.
Conclusion: Trabeculectomy using MMC and releasable sutures is an effective surgical method in reducing IOP and slowing progression. Releasable suture removal in case of postoperative hypertonia is easier, cheaper and does not require extra devices or equipment.
Keywords : Glaucoma, Mitomycin-C, Releasable suture