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العنوان
Corneal topography following trabeculectomy versus deep sclerectomy in chronic simple glaucoma patients \
المؤلف
El-­Banna, Reem Ghazi.
هيئة الاعداد
باحث / ريم غازي إبراهيم البنا
مشرف / محمد حسنين عمارة
مشرف / إيمان محمد الحفني
مشرف / طارق أحمد محسن
الموضوع
Glaucoma - Treatment. Glaucoma - physiopathology. Glaucoma - therapy. Glaucoma - Traitement.
تاريخ النشر
2005.
عدد الصفحات
93 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
1/1/2005
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم طب وجراحة العيون
الفهرس
Only 14 pages are availabe for public view

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Abstract

The aim of the work: illustrate changes in corneal topography following trabeculectomy versus deep sclerectomy in chronic simple glaucoma patients. Material & Method : Age­related (33­65 years old) and tension­related (23.8­37.2mmHg) chronic simple glaucoma patients were classified into two groups:­ A­ Deep sclerectomy group.B­ Sub­scleral trabeculectomy group, the followind were done pre., and postoperatively:­­ Slit lamp biomicroscopy.­ Applanation ocular tension measurement,­ Fundus examination using the direct ophthalmoscope.­Corneal topography performance preoperative, in the 1st day post­operative. Then at one, three and six months corneal topography was performed for each case. Results : Post­operative corneal astigmatic changes are temporary in the early post­operative period. The surgeon should inform the patient of the post­operative transient change in his refraction. The progress in non­penetrating glaucoma surgeries may help to overcome this major problem, because they induce less astigmatism than SST. So these lower levels of corneal astigmatism induced by DS added to the potential advantages of the procedure that have previously been reported. Significant astigmatism was induced after SST more than DS and it persisted for up to approximately six months post­operatively. Conclusion : studying the corneal topography before and after glaucoma surgery is important to know the effect of these surgeries and to decide on the best approach to each individual patient. SST induce astigmatic changes more than DS & last for longer time.