ArticleClinical ophthalmology (Auckland, N.Z.)2025
Outcome of Trabeculectomy with Suprachoroidal Derivation: A Novel Glaucoma Procedure in Saudi Arabia.
Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim and Background: Trabeculectomy with suprachoroidal derivation (SCD) is a relatively new surgical technique developed by Rodolfo A. Perez et al and introduced in the literature in 2013. Two filtration mechanisms are used to decrease IOP. First, the classical route is created by trabeculectomy, where aqueous humor is drained from the anterior chamber via the subconjunctival fistula, and the second route utilizes the suprachoroidal space to filter aqueous through the uveoscleral mechanism. Objects: The objects of this article are to assess efficacy and safety of Trabeculectomy with Suprachoroidal Derivation procedure. Methods: This is a retrospective case series study aims to evaluate the outcomes and success rate trabeculectomy with suprachoroidal derivation procedure in patients with uncontrolled IOP in a tertiary hospital in Saudi Arabia. Results: The study included 59 patients (71 eyes) over a median 23 months follow-up period, 62% were males and 38% females, a statistically significant reduction of intraocular pressure and reduction of number of medication was noticed (p = 0.0001 and p = 0.0005, respectively) following the surgical intervention with a success rate of 77.5%. Conclusion: The surgical technique provides a safe and effective route for aqueous outflow in combination with standard filtration surgery. Clinical Significance: This study demonstrates the safety and potential efficacy of trabeculectomy with suprachoroidal derivation as a novel surgical technique for glaucoma control.
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