A Prospective Study of Consecutive Patients Undergoing Full-thickness Conjunctival/Scleral Hypotony Sutures for Clinical Ocular Hypotony

作者：Richman Jesse^*; Moster Marlene R; Myeni Thandeka; Trubnik Valerie

来源：Journal of Glaucoma, 2014, 23(5): 326-328.

DOI：10.1097/IJG.0000000000000050

• hypotony
• hypotony sutures
• ocular hypotony
• bleb revision

Purpose: To describe a modified suturing technique for the treatment of hypotony. %26lt;br%26gt;Methods: A prospective case series of 15 patients with hypotony from an overfiltering trabeculectomy underwent full-thickness hypotony sutures. The technique involves placing several radial interrupted 10-0 nylon sutures in the area of the prior trabeculectomy. The suture pass starts at the limbus, travels through the conjunctiva, and full-thickness sclera before exiting the conjunctiva. The sutures were selectively removed postoperatively to titrate the intraocular pressure (IOP). Hypotony resolution, IOP, visual acuity, and complications were assessed on postoperative visits. %26lt;br%26gt;Results: Before surgery, the mean IOP was 3.3mm Hg. The mean IOP 1 day after surgery was 23.5mm Hg, which settled to 12.9mm Hg 3 months after surgery. Hypotony was reversed in 100% of patients and 87% achieved a goal IOP. Suture removal was performed in 73%, most within the first week after surgery. %26lt;br%26gt;Conclusions Placing full-thickness hypotony sutures is an effective way to treat ocular hypotony. Sutures can be removed postoperatively to titrate the IOP.

• 出版日期2014-7