Session: Poster session C

Evaluation of conjonctival incisions used in strabismus surgery in eyes that have undergone glaucoma surgery.

 

Introduction: To evaluate the effects of conjonctival incisions used in strabismus surgery in patients who have undergone glaucoma surgery.

 

Method: The files of the operated patients who were followed up in the strabismus unit of our hospital between 2012 and 2023 were retrospectively examined. The files of patients who had glaucoma surgery before strabismus surgery were included in the study. The types of conjonctival incisions used and peroperative and postoperative complications were recorded.

 

Results: Four patients were operated for congenital glaucoma and 1 patient was operated for post-traumatic glaucoma and 1 patient was operated for open angle glaucoma. Ahmed glaucoma valve was applied to 3 patients. During the strabismus operation, Cul de sac incision was used in 4 patients, Swan incision was used in 2 patients, and limbal L incision was used in 3 patients. No peroperative complications were observed. Although the bleb was avoided with a cul de sac incision, postoperative hypotony was observed in one patient. No bleb leakage that could cause postoperative hypotony was observed in any of the other patients. Increased intraocular pressure occurred in a patient who underwent transposition surgery and L incision. In this patient, the increase in intraocular pressure was controlled within a week with medical treatment. 



Conclusion: As a result of our study, it was observed that the types of conjonctival incisions used in strabismus surgery in patients who had undergone glaucoma surgery did not make a difference in terms of bleb leakage when closed well. It was concluded that it is important to prepare the incision away from the bleb and close it well.