Trabeculectomia: Retalho conjuntival base-limbo versus base-fórnice

Trabeculectomia: Retalho conjuntival base-limbo versus base-fórnice


Felício A. da Silva,
Flávio R. L Paranhos


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.57 no.1 São Paulo fev. 1994


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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