Sabitabh Kumar
University College of Medical Sciences, India
Title: Anterior lens capsule to enhance phacotrabeculectomy
Biography
Biography: Sabitabh Kumar
Abstract
This prospective randomized case-control study is done to evaluate the efficacy of autologous Anterior Lens Capsule (ALC) in phacotrabeculectomy. After obtaining institutional ethical clearance and informed consent, 88 eyes posted for phacotrabeculectomy were divided into ALC (Group-I) and Non-ALC Group (Group-II). Combined phacoemulsification, with posterior chamber intraocular lens implantation and trabeculectomy was performed in both groups. Anterior lens capsule transplantation was done in the first group (Group-I) beneath the sclera flap. Follow up of 3 months was carried out
where in the morphology of bleb, intraocular pressure (IOP), requirement for additional medications and complications were compared between the two groups. Statistical difference favoring ALC group was seen in IOP reduction (p<0.05) at each follow up, qualified success rate and failure rate 3 month follow up (p=0.006) but no difference in bleb morphology was seen. The
authors believe that ALC implantation is beneficial in maintain filtration in a combined surgery with minimal complications.