Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.6, ss.366-369, 2015 (ESCI)
Aim: The purpose of this study is, to compare the efficacy profile between Ex-Press Miniature Shunt and trabeculectomy on intraocular pressure (IOP) in primary open angle glaucoma (POAG) patients. Material and Method: 40 POAG patients were retrospectively analyzed between March 2012 and April 2014. Group 1 consist of 20 eyes of 20 patients who underwent Ex-Press Miniature Shunt, group 2 consist of 20 eyes of 20 patients who underwent trabeculectomy. Postoperative 7th day, 1st month, 2nd month, 3rd month and 6th month opthalmologic examination was fully implemented. Other types of glaucoma, patients with other diseases and with complications were excluded from the study. IOP was measured by applanation tonometer. Results: Postoperative 7th day, 1st month, 2nd month and 3rd month; there was no statistically significant difference between the two groups in mean IOP (p>0.05). Increase in visual acuity at the 6th month was; 19.41% in group 1, 17.32% in group 2 and there was no change in visual acuity by 80.59% in group 1, by % 82.68 in group 2. The mean IOP at the 6th month was; 13.00 +/- 5.33 (9-23) mmHg in group 1, 14.03 +/- 5.79 (7-24) mmHg in group 2 and no statistically significant difference was found between the two groups (p=0.730). The mean IOP decrease at the 6th month was; 16.09 +/- 4.97 mmHg in group 1, 15.06 +/- 3.11 mmHg in group 2 and no statistically significant difference was found between the two groups (p>0.05). Discussion: Unlike trabeculectomy; sclera and iris tissue is not removed in application of ExPress Miniature Shunt. Its as effective as trabeculectomy and its complication rate is low.