Document Detail

Ocular digital massage for the management of post- trabeculectomy underfiltering blebs.
MedLine Citation:
PMID:  22078347     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the efficacy and safety of ocular digital massage (ODM) in the management of underfiltering blebs after trabeculectomy.
STUDY DESIGN: Quasi experimental study.
PLACE AND DURATION OF STUDY: Glaucoma Clinic of Al-Shifa Trust Eye Hospital, Rawalpindi, from January 2007 to November 2008.
METHODOLOGY: ODM was performed 3-4 times daily in 20 eyes having intraocular pressure (IOP) above the target level after trabeculectomy. Equal number of eyes with satisfactory IOP after trabeculectomy were taken as controls. Both groups were evaluated at 1 week, 3 weeks, 6 weeks, 3 months, 6 months and 9 months. Mean IOP, frequency of complications and required number of IOP lowering medicines in both groups were compared using 't' test.
RESULTS: Massage group had a significantly higher mean IOP than the control group before the initiation of massage (p < 0.001). After initiating ODM, there were no significant differences in the mean IOP of two groups at 1 week (p = 0.421), 3 weeks (p = 0.073), 6 weeks (p = 0.575), 3 months (p = 0.071), 6 months (p = 0.085) and 9 months (p = 0.369). The difference in terms of required number of IOP lowering medicines (p = 0.075) and complication rates (p = 0.411) was also not significant.
CONCLUSION: ODM is an effective method for controlling IOP after trabeculectomy, and thus contributes to long-term surgical success with an acceptable risk / benefit ratio.
Mahmood Ali; Farah Akhtar
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  21     ISSN:  1681-7168     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  2012-04-03     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  676-9     Citation Subset:  IM    
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MeSH Terms
Blister / etiology,  therapy*
Follow-Up Studies
Glaucoma, Open-Angle / physiopathology,  surgery*
Intraocular Pressure
Massage / methods*
Middle Aged
Postoperative Care / methods*
Postoperative Complications
Retrospective Studies
Time Factors
Trabeculectomy / adverse effects*
Treatment Outcome
Vision, Ocular

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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