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مقاله
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Abstract
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Title:
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Outcomes of Same-Site Re-Operation with Minimal Use of Mitomycin in Failed Trabeculectomy
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Author(s):
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Yadollah Eslami ,MD, Vafa Samarai, MD, Massood Mohammadi, MD, Ghasem Fakhraie , MD,Reza Zarei ,MD,Sajad Eslami, BSC, Sasan Moghimi ,MD ,
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Presentation Type:
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Oral
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Subject:
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Glaucoma
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Others:
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Presenting Author:
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Name:
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Vafa Samarai
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Affiliation :(optional)
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E mail:
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vafasamarai@gmail.com
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Phone:
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3363285
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Mobile:
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09144415591
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Purpose:
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: To evaluate efficacy and safety of same site re-operation in eyes
With failed trabeculectomy
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Methods:
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Retrospective, noncomparative, interventional case series. We reviewed the medical records of thirty five eyes of 35 patients who underwent same-site re-operation for failed trabeculectomy. Surgery involved a fornix based peritomy at the same site as previous trabeculectomy with application of 0.2 mg/mL mitomycin for 1minute. Primary outcome measures were intraocular pressure (IOP) control and number of antiglaucoma medication at last follow-up.
Success rates were defined according to following criteria: A) IOP ≤ 21 mm Hg and B) IOP ≤19 mm Hg, with or without antiglaucoma medications.
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Results:
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Mean age was 43.3 ±18.0 and %62.9 of patients were male. Mean follow up was 13.6 months ±12.0 (Range: 6-49 months).At final follow up mean baseline intra ocular pressure (IOP) was reduced from 27.2 ± 8.0 mmHg to 16.6 ±7.5 mm Hg (P<0001). Mean number of antiglaucoma medication was reduced from 2.8 ±.0.8 to 1.0 ±1.3 (p<0001).
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Conclusion:
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This study supports the efficacy and safety of the same-site re-operation with minimal use of MMC for managing failed filtering blebs following a trabeculectomy.
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Attachment:
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