Document Detail


Managing post acute congestive phase by combined manual small incision cataract surgery and trabeculectomy: a prospective study.
MedLine Citation:
PMID:  23025226     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The purpose of the study was to evaluate the therapeutic efficacy of manual small incision cataract surgery (SICS) and trabeculectomy as management option for acute angle closure glaucoma. The first 6 cases of 14 cases of acute angle closure glaucoma seen over a period of 18 months underwent surgical peripheral buttonhole iridectomy (PBHI) after their intra-ocular pressure (IOP) was controlled medically. Subsequently 8 cases underwent manual SICS+trabeculectomy as an alternative procedure after their IOP control who needed further surgery and overall patients' comfort. The results showed sustained visual acuity remained 6/9 or better in all the patients of SICS + trabeculectomy group, compared 6/12 or worse in the PBHI group. Mean non-contact tonometry reading at the end of 6 weeks was 10.2 mm Hg in the second group compared to 14.6 in the first group. None of the patients in the second group ever needed surgery in a 4-month follow-up, whereas 3 patients in the first group had to be operated again for cataract or uncomplicated IOP. Manual SICS+ trabeculectomy offers a good, economical and rational therapeutic alternative to traditional PBHI in the postcongestive phase.
Authors:
M Nazarul Islam; Soumen Chakroborty; Anup Mondal; Rakhi Bandopadhay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  110     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-10-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  India    
Other Details:
Languages:  eng     Pagination:  248-9, 252     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Bankura Sammilani Medical College Hospital, Bankura 722102.
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