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Inverted T Trabeculectomy Primary Congenital Glaucoma
Sponsor: Benha University
Summary
This study aims to evaluate the safety and efficacy of novel Inverted T trabeculectomy in Primary Congenital Glaucoma (PCG). It enrolled 50 eyes of 25 children with PCG. The mean age at the time of surgery was 12±11 months, and the mean presenting IOP was 40±4 mmHg. Patients with previous intra-ocular or conjunctival surgery, those who had significant ocular trauma, and patients with congenital glaucoma associated with ocular anomalies diseases were excluded from the study. All patients had Inverted T trabeculectomy under general anesthesia. The IOP in the operated eyes was followed up for 36 months.
Official title: Inverted T Trabeculectomy for Primary Congenital Glaucoma, A Novel Technique
Key Details
Gender
All
Age Range
Any - 12 Months
Study Type
INTERVENTIONAL
Enrollment
25
Start Date
2023-01-01
Completion Date
2025-03-01
Last Updated
2025-02-20
Healthy Volunteers
No
Conditions
Interventions
Inverted T trabeculectomy
* Fornix-based conjunctival incision along with the opening of Tenon's capsule and dissection along the area of the potential bleb. * A 4 x 4 mm limbal-based scleral flap was fashioned using a crescent knife. Dissection was carried out up to the clear cornea. * A longitudinal tunnel was made through the scleral bed, starting from the limbus and extending 1 mm beyond the end of the scleral flap. Afterwards, the horizontal limb of the Inverted T was created. (Figure 2) * A paracentesis was made using an MVR blade. * The anterior chamber was entered using an MVR blade. Kelly's punch was used to excise 1.5 x 1.5 mm of scleral bed at the limbus at the base of the vertical limb of the figure (T), and then a peripheral iridectomy was performed using Vannas scissors. * The scleral flap was then closed using two fixed 10/0 Nylon sutures, one at each corner.
Locations (1)
Benha University Hospital
Banhā, Qualubia, Egypt