Comparison of the results of trabeculectomy in two groups of patients who were operated by new suturing techniqe of Dr. Afroozifar(A.F.Suture) and the conventional trabeculectomy

:In this study, 18 patients with closed angle glaucoma who underwent conventional phaco-trabeculectomy(group A) were compared with 12 patients with closed angle glaucoma who had been treated with phaco-trabeculectomy using the new suturing techniqe (A.F.Suture)(group B) for 4.5 years .The results of the two groups were compared based on the amount of post-operative mean ocular pressure, the need for releasable suture removal, the need for re-opening the trabeclectomy path(need ling), and the need for a second surgical procedure for choroidal tap.Pre-operation mean ocular pressure in group A was 28.3 mmHg with a mean of 3.3 drops and the mean pre-operation ocular pressure in group B was 30.2 mmHg with an average of 3.8 drops. The mean age of the first group was 65.6 years and the mean age of the second group was 67.8 years.

After 4.5 years, the mean ocular pressure in group A was 14.4 mmHg with a mean of 1.5 drops and the mean ocular pressure in group B was 12.7 mmHg with an average of 1.2 drops In 65.6% of group A, releasable suture removal was required, but only in 13.9% of group B needed to remove releasable sutures In 12.8% of group A, need to use needle to open the trabeculectomy duct, but only 1.3% of group B needed to use needle to open the trabeculectomy duct and the need for choroidal tap in both groups was only One patient.

The new suturing technique of Dr.Afroozifar(A.F.Suture)creates a better trabeclectomy outlet and better result in glaucoma surgery.