Glaucoma Patients Scheduled for Trabeculectomy
Conditions
Brief summary
Application of antimetabolite agents such as mitomycin\_c has improved trabeculectomy results and better control of intraocular pressure complications such as corneal endothelial cell loss. However, Mitomycin\_c can be applied remain a concern before or after sclera flap dissection. Mitomycin\_c application after sclera flap dissection probably increases corneal endothelial cell loss. This study compares Mitomycin\_c application two methods: before and after sclera flap dissection with regard to success rate and complication. patients on base of Mitomycin\_c application time (1-2-3) minutes will be match randomise in to two groups( before and after sclera flap dissection) corneal. Endothelial cell density, polymorphism, polymegathism and intraocular pressure before and one month, three months, six months after surgery will measured.
Interventions
0.02%.1,2,3,minutes match randomized in to two groups(before &after scleral flap dissection
Sponsors
Study design
Eligibility
Inclusion criteria
* Age Range between 18 to 80 years old * Trabeculectomy to JOAC, POAG, CACG, PXF, pigment dispersion syndrome.
Exclusion criteria
* Secondary glaucoma (active uveitis, NVG, specific syndromes such as axenfeld rieger, Iridocorneal Endothelial syndrome, aniridia, peters, etc).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| corneal endothelial cell density | six month | specular microscopy |
| corneal endothelial cell polymorphism | 6 months | specular microscopy |
| corneal endothelial cell polymegathism | 6 months | specular microscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| IOP (intra ocular pressure) | six months | applanation tonometry |
Countries
Iran