DR.PRIYANKA RAMESH

Dr.ANIN SETHI, Dr. VINEY GUPTA, Dr.Shikha Gupta

Abstract

Prospective interventional case series(16 eyes) of failed trabeculectomy to evaluate safety and IOP lowering effect of incisional goniotomy with MVR blade +/- phacoemulsification. relevant data analyzed for at least a 6-month follow-up. Success criteria- IOP ≤18mmHg with or without medications. 87.5% had severe glaucoma. Mean IOP change 24.37±5.77 mm Hg to 15.8±3.19 mmHg at 6 months (P=0.004); 37.14 ±14.87% reduction at last follow-up. Mean medications reduction- 2.81±0.91 to 1.27+0.9 (P<0.009). 2 patients had IOP <18mmHg with 0 medications (12.5%) 5 patients had IOP <18mmHg on 1 medication (31.25%) at last follow up. Complications-hyphema (25%) IOP spike (12.5%) cyclodialysis (6.5%). Cumulative survival probability (6 months)- 87.5%. if IOP< /=15mmHg with or without medication, survival- 68.75%. MVR blade assisted incisional goniotomy with or without phacoemulsification lead to significant reduction in IOP in failed trabeculectomy. It is a useful alternative to a retrabeculectomy

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