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A comparison between peripheral iridectomy with thermal sclerostomy and trabeculectomy: a controlled study.

Author: PoryzeesE, SpaethG L

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

In a study of 15 people with glaucoma who underwent two different surgeries in each eye, peripheral iridectomy with thermal sclerostomy had a higher rate of immediate complications than trabeculectomy. However, after one year and five years, both procedures achieved similar control of eye pressure and vision. The average final eye pressure was lower in the group that received peripheral iridectomy with thermal sclerostomy (16 mmHg) compared to the trabeculectomy group (22 mmHg). However, twice as many people in the trabeculectomy group required additional medication to maintain eye pressure. The mechanism of pressure control was primarily through filtering in the iridectomy with thermal sclerostomy group, while it was less common in the trabeculectomy group.
Paper Details　
Original Abstract of the Article :
In 15 patients with primary open-angle glaucoma who required surgery in both eyes because of progressive glaucomatous disease a peripheral iridectomy with thermal sclerostomy was performed in one eye and a trabeculectomy in the other eye, the choice of procedure being determined randomly. In all 15 ...See full text at original site
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引用元：
https://doi.org/10.1136/bjo.65.11.783

データ提供：米国国立医学図書館（NLM）

A Comparative Study of Peripheral Iridectomy with Thermal Sclerostomy and Trabeculectomy

In the realm of ophthalmology, glaucoma, a chronic eye condition that can lead to irreversible vision loss, presents a persistent challenge. This study aimed to compare the effectiveness of two surgical procedures, peripheral iridectomy with thermal sclerostomy and trabeculectomy, in managing primary open-angle glaucoma. The researchers conducted a controlled study involving 15 patients who underwent both procedures in different eyes, allowing for direct comparison of the outcomes.

Comparing Surgical Outcomes in Glaucoma Treatment

The study found that peripheral iridectomy with thermal sclerostomy resulted in a higher immediate complication rate. However, both procedures demonstrated comparable control of glaucomatous disease, with an improvement in visual field in approximately one-third of the patients and stability in the remaining patients. The average final intraocular pressure (IOP) was lower in patients who underwent peripheral iridectomy with thermal sclerostomy compared to trabeculectomy. Interestingly, a higher number of patients who underwent trabeculectomy required additional medical therapy to maintain IOP within the desired range. The study also observed that gross filtration was a common mechanism for IOP control in patients receiving peripheral iridectomy with thermal sclerostomy, whereas it was less frequent in patients who underwent trabeculectomy.

Glaucoma Management: Choosing the Right Approach

This study sheds light on the relative effectiveness of two surgical approaches for treating glaucoma. While both methods demonstrated similar control of the disease, peripheral iridectomy with thermal sclerostomy showed a lower complication rate and a lower average final IOP. However, the study also highlighted the potential need for more frequent medical therapy in patients who underwent trabeculectomy. Ultimately, the choice of surgical procedure for treating glaucoma should be carefully considered based on individual patient factors and potential benefits and risks.

Dr. Camel's Conclusion

Navigating the world of glaucoma treatment is like navigating a desert with shifting sands. This study serves as a valuable guide, offering insights into the comparative effectiveness of two surgical procedures. The findings underscore the importance of individualized treatment plans, tailored to the unique needs of each patient. As we delve deeper into the mysteries of glaucoma, we must remain vigilant in our quest for optimal treatment strategies, ensuring that patients can navigate their visual journeys with clarity and confidence.

Date :
  1. Date Completed 1982-04-20
  2. Date Revised 2019-05-01
Further Info :

Pubmed ID

7034771

DOI: Digital Object Identifier

10.1136/bjo.65.11.783

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Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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