Efficacy of Modified 360-degree Suture Trabeculotomy for Pseudoexfoliation Glaucoma

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dc.contributor.authorHepsen, Ibrahim F.
dc.contributor.authorGuler, Emre
dc.contributor.authorKumova, Deniz
dc.contributor.authorTenlik, Aylin
dc.contributor.authorKulak, Ali Ender
dc.contributor.authorYazici, Eroglu Hulya
dc.contributor.authorDisli, Gaye
dc.date.accessioned2025-10-24T18:09:18Z
dc.date.available2025-10-24T18:09:18Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: In this prospective study, we aimed to investigate the success and safety of a modified 360-degree suture trabeculotomy (ST) technique in patients with pseudoexfoliation glaucoma (XFG). Patients and Methods: The modified 360-degree ST was performed on 15 eyes of 15 patients with XFG resistant to maximal topical treatment. In 6 patients, ST was combined with phacoemulsification. Main outcome measures were the surgical success rate, mean postoperative intraocular pressure (IOP), the number of anti-glaucoma medications, and the operative complications. Results: The mean follow-up period was 8 months (range 6 to 12 mo). Baseline IOP decreased from 27.53 +/- 9.38 mm Hg on 3.26 +/- 0.70 medications to 12.86 +/- 2.72 mm Hg (P = 0.01) on 0.20 +/- 0.56 medications (P = 0.01) at 6 months postoperatively accounting for a 52.82% reduction. The complete and qualified success rates were 77% and 100%, respectively, at the sixth month. The entire circumference of the Schlemm canal was successfully opened in all cases. Hyphema (in all cases), intraoperative iris prolapse (in 3 cases), transient elevation of the IOP (in 1 case), posterior synechia (in 2 phakic cases), and peripheral anterior synechia (in 1 case) were noted. There was not a trend for lower IOP after combined phacomodified 360-degree ST in this small group. Conclusions: The modified 360-degree ST appears to be a valuable option for the surgical treatment of XFG. Future studies are needed to explore the remote side effects and the long-term effects of this procedure on IOP.
dc.identifier.doi10.1097/IJG.0000000000000214
dc.identifier.endpageE34
dc.identifier.issn1057-0829
dc.identifier.issn1536-481X
dc.identifier.issue1
dc.identifier.pmid25651205
dc.identifier.scopus2-s2.0-84952988497
dc.identifier.scopusqualityQ2
dc.identifier.startpageE29
dc.identifier.urihttps://doi.org/10.1097/IJG.0000000000000214
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3570
dc.identifier.volume25
dc.identifier.wosWOS:000374819400006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of Glaucoma
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectab externo; 360-degree suture trabeculotomy; pseudo-exfoliation glaucoma; Schlemm canal
dc.titleEfficacy of Modified 360-degree Suture Trabeculotomy for Pseudoexfoliation Glaucoma
dc.typeArticle

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