| Abstract: |
Since glaucoma surgery was first performed, there has been a continuous trend to improve the success rate and to limit the complications of the filtering surgery. Thus non penetrating glaucoma surgery has been developed and offers a long-term IOP success that is very comparable to sub scleral trabeculectomy in the case of primary open angle glaucoma.The most important advantage of this filtering surgery is that the anterior chamber is not opened and the gradual decompression of the anterior chamber minimizes or eliminates the complications of the classical trabeculectomy.The present study was performed for the purpose of comparing the safety and the efficacy of non penetrating deep sclerectomy with and without use of MMC or catgut implant in the treatment of primary open angle glaucoma. It included 36 patients (72 eyes) selected from patients attending to our outpatient clinic of Zagazig university hospitals. The patients were assigned randomly into three groups:Group A: Included 12 patients with bilateral POAG, each of them exposed to NPDS in one eye and NPDS with Mitomycin-C in the other eye.Group B: Included 12 patients with bilateral POAG, each of them exposed to NPDS in one eye and NPDS with catgut implant in the other eye.Group C: Included 12 patients with bilateral POAG, each of them exposed to NPDS with Mitomycin-C in one eye and NPDS with catgut implant in the other eye.
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