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Trabeculectomy: Limbal-based vs fornix-based conjunctival flap

SUMMARY

Trabeculectomy with fornix-based conjunctial flap was performed in 18 eyes of 13 patients (group A) and with Iimbal-based flap in 18 eyes of 15 patients (group B). In a retrospective study, patients were followed up for an average of 8.8 months and 37.1 months. respectively. No significant difference between the two surgical techniques was noted concerning efficacy and morbidity. Group A, 95% of the eyes were controlled (72% without medication), with an average 23.97 mmHg decrease (43.82%) of ocular pressure. Group B, 90% of the eyes were controlled (67% without medication) with an average 19.19 mmHg decrease (37.26%) of ocular pressure. Cystic bleb was not observed in group A. Because of the practical advantages and the positive surgical results, the authors favour and recommend the fornix-based method.

Keywords:
Trabeculectomy; conjuntival flap

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