TY - JOUR AU - Qurban, Qirat AU - Kamil, Zeeshan AU - Mahmood, Khalid PY - 2021/09/03 Y2 - 2024/03/29 TI - Results of Rectangular and Triangular Shaped Scleral Flaps in Trabeculectomy in Terms of Control of Intra Ocular Pressure (IOP) and Complications: Doi: 10.36351/pjo.v37i3.1089 JF - Pakistan Journal of Ophthalmology JA - pak J Ophthalmol VL - 37 IS - 4 SE - Original Articles DO - 10.36351/pjo.v37i3.1089 UR - https://www.pjo.org.pk/index.php/pjo/article/view/1089 SP - AB - <p><strong>Purpose: </strong>To compare between the results of rectangular and triangular shaped scleral flaps in trabeculectomy for primary open angle glaucoma.</p><p><strong>Study design:</strong> Quasi experimental study</p><p><strong>Place and Duration of Study: </strong>Khalid eye clinic, Karachi, from July 2018 to June 2019.</p><p><strong>Methods:</strong> This study included 24 patients of either gender and age from 40 to 65 years. Patients with a diagnosis of primary open angle glaucoma refractory to medical treatment were included by convenient sampling technique. They were divided into two groups. Group A underwent trabeculectomy with rectangular shaped scleral flap whereas Group B underwent trabeculectomy with triangular shaped scleral flap. The main outcome measures were intraocular pressure reduction, anterior chamber depth and post-operative complications. All patients were followed up for a period of two months.</p><p><strong>Results: </strong>Mean age was 52.1± 6.72 years. Mean pre-operative intraocular pressure in group A was 24.4±2.13 mmHg and 23.5±1.64 mmHg in group B. Mean post-operative IOP was 11.6±1.51 mmHg in group A and 13.4±1.67 mmHg in group B with p-value of 0.11. Pre-operative anterior chamber depth (ACD) was grade 4 both groups. It remained same in all patients of group A but two patients of group B changed to grade 3 ACD. Two patients of group B developed hypotony on the first post-operative day. They did not require revision suturing and were managed conservatively.</p><p><strong>Conclusion: </strong>Both types of scleral flap are effective in reducing IOP but rectangular scleral flap reduced IOP more as compared to triangular scleral flap but the difference was not statistically significant.</p><p><strong>Keywords: </strong>Trabeculectomy, Intra ocular pressure, Open angle glaucoma.</p> ER -