FP650 : Outcome following Trabeculectomy with a single apical suture of the sclera flap

Dr.Sagarmoy Purkayastha

20 patients of POAG undergoing Trabeculectomy from Jan 2015 to July 2016 with a single suture placed at the apex of the triangular sclera flap were included in the study. Patients were followed up for 6 months and were evaluated for IOP profile, bleb morphology and complications. 15 patients (75%) achieved target IOP, good functioning bleb and maintained till 6 months without any antiglaucoma medications. 2 patients (10%) required a single AGM and 1 patients (5%) required 2 AGM. 4 patients (20%) required digital massage in the 1st post-operative week, 1 patient (5%) had post operative hypotony and needed additional sutures. None of the patients had any infection, hyphaema or bleb leak. Trabeculectomy with a single apical suture is a safe and effective technique with predictable outcome in POAG but needs proper follow-up and management.