Hasan Yaqoob, Mohammad Idris, Zubairullah Khan, Zubairullah Khan, Mudasser Hussain Turi, Naseer Ahmad, Bilqees Hassan.
The Efficacy of Limbal Based Conjunctival Flap in Patients Undergoing Trabeculectomy with Intra-operative Mitomycin C.
Ophthalmol Update Jan ;13(2):100-3.

Objective: To determine the efficacy of limbus based conjunctival flap in patients undergoing trabeculectomy with intraoperative Mitomycin C. Design: interventional case series Setting: Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences (KIOMS), Post Graduate Medical Institute, Lady Reading Hospital, Peshawar. Duration: 18 months, from 1st January2012 to30th June 2013. Subjects: Eighty eyes of 80 patients diagnosed as having glaucoma. Main outcome measure: 1. Intraocular pressure, effective rate of fornix based trabeculectomy with mitomycin C and limbal based trabeculectomy with mitomycin C in lowering intraocular pressure. 2. Bleb formation Results: 80 eyes underwent limbal based trabeculectomy with MMC. 56.3% of patients were male and 43.8% were female. The mean age was 54.1 years. Preoperative visual acuity ranges from 6/6 to counting fingers (CF). The mean intraocular pressure at the end of follow-up was 12.12 mmHg with standard deviation + 0.68 in group 2. IOP >21 mmHg was not found in any patient. The effective rate of limbal based trabeculectomy with MMC was 85% in formation of bleb on 1st postoperative day . Conclusion: limbal based trabeculectomy with intraoperative MMC is an alternative and effective method in glaucoma treatment surgically.

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