DR. SOUVIK SAMADDAR

DR. TANIA RAY (BHADRA)

Abstract

It is an institution based, prospective, interventional study where 30 consecutive eyes from 25 patients were taken over a period of 18 months at a tertiary care hospital of Eastern India. The diagnosis was made clinically, EUA was planned, Intra-ocular pressure, corneal diameter, axial length were measured and disc evaluation was done. Combined Trabeculotomy and trabeculectomy was performed. The same four parameters were measured at the end of 1 month, 6months, 12 months and 18 months postoperatively. A significant reduction of IOP from 28.87+/-4.47 mm Hg to 12.33+/-1, 15.68+/-3.95, 17.95+/-3.21 and mm Hg at 1 month, 6 months, 12 months and 18 months respectively was seen (p<0.0001). 60% of all eyes showed complete success while 20% had qualified success. Patients presenting late had a poorer prognosis. Primary combined trabeculotomy-trabeculectomy is safe, effective, and sufficiently predictable to be considered the first choice of surgical treatment in primary congenital glaucoma.