J Korean Ophthalmol Soc > Volume 59(1); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(1):50-59.
DOI: https://doi.org/10.3341/jkos.2018.59.1.50    Published online January 15, 2018.
Comparison of Effects and Complications between Conventional Trabeculectomy and Trabeculectomy with a Collagen Matrix Insertion.
Kee Sup Park, Kyoung Nam Kim, Sung Bok Lee, Jung Yeul Kim, Chang sik Kim
1Department of Ophthalmology, Chungnam National University Hospital, Daejeon, Korea. kkn9901700@hanmail.net
2Department of Ophthalmology, Chungnam National University School of Medicine, Daejeon, Korea.
콜라겐 기질을 삽입한 섬유주절제술과 전통적인 섬유주절제술의 효과와 합병증의 비교
박기섭1,2⋅김경남1,2⋅이성복1,2⋅김정열1,2⋅김창식1,2
충남대학교병원 안과1, 충남대학교 의과대학 안과학교실2
Correspondence:  Kyoung Nam Kim,
Email: kkn9901700@hanmail.net
Received: 10 August 2017   • Revised: 21 September 2017   • Accepted: 27 November 2017
Abstract
PURPOSE
To compare the surgical outcomes between trabeculectomy with a collagen matrix (Ologen®) insertion and conventional trabeculectomy. METHODS: An ophthalmic examination, including tonometry and a slit lamp examination, was performed 1 week, 2 weeks, 1 month, 2 months, 4 months, 6 months, and 12 months postoperatively in glaucoma patients who underwent a trabeculectomy using Ologen® (experimental group) or a conventional trabeculectomy (control group). Clinical features including success rate and complications were compared between the two groups. RESULTS: In 21 eyes of the experimental group and 42 eyes of the control group, the success rates were 76% and 69%, respectively (p = 0.554). Needling with subconjunctival 5-fluorouracil injection or laser suture lysis of the scleral flap was required in three eyes (14.3%) in the experimental group and 18 eyes (42.9%) in the control group (p = 0.023). The types of complications differed, although the total number of complications did not differ between the two groups (23.8% vs. 19.0%, respectively; p = 0.745). The most common complication in the experimental group was an encapsulated bleb, which occurred in three eyes (14.3%), whereas an avascular bleb occurred in three eyes (7.1%) in the control group. CONCLUSIONS: The success rate of trabeculectomy with Ologen® was comparable to that of conventional trabeculectomy. However, postoperative interventions were less commonly required after trabeculectomy with Ologen®, and the complications differed between the groups. When choosing the surgical method and examining the postoperative condition, these differences should be considered.
Key Words: Collagen matrix;Glaucoma;Trabeculectomy


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