KOMBİNƏ EDİLMİŞ TRABEKULOTOMİYA VƏ TRABEKULEKTOMİYA (KTT) BUYNUZ QİŞANIN DİAMETRİ 14.0 MM-DƏN BÖYÜK PROQRESSİVLƏŞMİŞ İNKİŞAF QLAUKOMASININ MÜALİCƏSİNDƏ EFFEKTİV BİR ÜSUL KİMİ

Abstract

SUMMARY

Purpose: To report the safety and efficacy of combined trabeculotomy and trabeculectomy (CTT) iin advanced
primary developmental glaucoma with corneal diameter 14 mm or more.

Patients and Methods
A total of 11 eyes of 11 consecutive patients aged 40.3 months (median,8 days-108
months) with advanced developmental glaucoma were included. Primary CTT was performed by a single surgeon
(MNA) at National Ophthalmology Centre, Baku over a 3.3 year period. The main outcome measures were changes
in and final levels of intraocular pressure (IOP), corneal clarity, visual acuity, and refractive status.

Results
Mean preoperative IOP was 34.4 mmHg (range, 28-46.6 mmHg) and mean postoperative IOP was
15.5 mmHg (range, 8-22 mmHg). 3 (27.3%) of the patients were myopes with mean spherical equivalent of
5.3D (range, 4.5-6.0D). Using verious age-appropriate testing procedures, at the final follow-up visit, 3 (27.3%)
patients had age appropriate visual acuity and 3 (27.3%) patients had subnormal visual acuity. Best-spectacle-
corrected visual acuity of 0.4-0.5 was achieved in 3 patients. There were no sight-threatening intraoperative and
postoperative complications.

Conclusion
Primary CTT maybe considered as an initial procedure in advanced cases ofprimary developmental
glaucoma with a corneal diameter of 14mm or more. These patients experienced good visual outcomes and IOP
control with a low complication rate. Appropriate optical correction of the refractive error, coupled with aggressive
amblyopia therapy isntituted early, helped to improve the outcome.