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  • Title: Fornix vs limbus based flap in phacotrabeculetomy with mitomycin C: prospective study.
    Author: Mandić Z, Bencić G, Zorić Geber M, Bojić L.
    Journal: Croat Med J; 2004 Jun; 45(3):275-8. PubMed ID: 15185416.
    Abstract:
    AIM: To compare the efficacy and safety of fornix-based and limbus-based conjunctival flaps of phacotrabeculectomy with mitomycin C in patients with primary open angle glaucoma and cataract. METHODS: The study included 16 patients (6 men and 10 women) with primary open angle glaucoma and bilateral cataract. In each patient, phacotrabeculectomy with mitomycin C was performed on both eyes: the eye first operated received a fornix-based conjunctival flap, whereas the fellow eye was assigned to the limbus-based group. We compared preoperative and postoperative visual acuity, intraocular pressure, number of antiglaucoma medications, and postoperative complications between flap-based and limbus-based groups. RESULTS: There was no difference in the decrease in the mean intraocular pressure between the fornix-based and limbus-based groups after phacotrabeculectomy: from 22.1+/-4.4 mm Hg to 16.2+/-3.4 mm Hg in the fornix-based group, and from 22.4+/-4.5 mm Hg to 15.9+/-3.2 mm Hg in the limbus-based group. The two groups also did not differ in the number of medications received either before or after the surgery. Early bleb leak was observed only in the fornix-based group (2 eyes). CONCLUSIONS: Phacotrabeculectomy with intraoperative mitomycin C was successful in regard to both reduction of intraocular pressure and glaucoma medications. There was no difference in the safety or efficacy of the procedure between groups receiving either fornix- or limbus-based flap, except for the early bleb leak, which was observed only in the fornix flap group.
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