One-Year Outcomes of Trabeculotomy with 120°, 180°, or 360° Schlemm’s Canal Incision for Primary Open-Angle Glaucoma: A Retrospective Study
2024

Surgical Outcomes of Trabeculotomy for Glaucoma

Sample size: 66 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mori Hidetsugu, Kiriishi Tatsunori, Omi Masatoshi, Ohnaka Masayuki, Imai Hisanori

Primary Institution: Kansai Medical University

Hypothesis

The study investigates the surgical outcomes of different trabeculotomy incision angles in patients with primary open-angle glaucoma.

Conclusion

The M-LOT group showed the best surgical outcomes with the fewest complications compared to K-LOT and S-LOT groups.

Supporting Evidence

  • The M-LOT group had the lowest incidence of complications.
  • The K-LOT group had a significantly lower percentage reduction in IOP compared to M-LOT and S-LOT.
  • Kaplan–Meier survival analysis showed a lower success rate for K-LOT compared to M-LOT and S-LOT.

Takeaway

Doctors did different types of eye surgery to help people with glaucoma, and one type worked best with fewer problems.

Methodology

The study included 66 patients who underwent different types of trabeculotomy and assessed their intraocular pressure and medication use over 12 months.

Potential Biases

Selection bias may exist due to non-random assignment of incision types.

Limitations

The study was retrospective and not randomized, which may affect the results.

Participant Demographics

Patients with primary open-angle glaucoma who underwent surgery between January 2015 and December 2022.

Statistical Information

P-Value

0.0002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jcm13247653

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