Skip to main content
PMC home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1996 May;80(5):398–401. doi: 10.1136/bjo.80.5.398

Glaucoma laser suture lysis.

P Macken 1, Y Buys 1, G E Trope 1
PMCID: PMC505487  PMID: 8695557

Abstract

AIM: Suture lysis is commonly performed after trabeculectomy to improve bleb function. It is often thought to be an innocuous procedure. This is the first large study to determine the safety of the procedure and compare results with a control group. METHODS: Two hundred successive trabeculectomies performed between January 1992 and October 1993 were analysed. RESULTS: Ninety nine eyes underwent trabeculectomy and suture lysis; 101 eyes underwent trabeculectomy and did not require postoperative suture lysis. The following complications were noted with suture lysis: flat chambers (13.1%), external aqueous leaks (9%), malignant glaucoma (2%), iris incarceration (2%), and large blebs (2%). All resolved with appropriate management. There was no significant difference in the final postoperative mean pressures between the lysis and the non-lysis groups. CONCLUSION: Suture lysis is not an innocuous procedure. However if managed appropriately, complications do not affect the intraocular pressure outcome.

Full text

PDF
398

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Buys Y. M., Trope G. E. Prospective study of sub-Tenon's versus retrobulbar anesthesia for inpatient and day-surgery trabeculectomy. Ophthalmology. 1993 Oct;100(10):1585–1589. doi: 10.1016/s0161-6420(93)31440-5. [DOI] [PubMed] [Google Scholar]
  2. DiSclafani M., Liebmann J. M., Ritch R. Malignant glaucoma following argon laser release of scleral flap sutures after trabeculectomy. Am J Ophthalmol. 1989 Nov 15;108(5):597–598. doi: 10.1016/0002-9394(89)90441-8. [DOI] [PubMed] [Google Scholar]
  3. Hoskins H. D., Jr, Migliazzo C. Management of failing filtering blebs with the Argon laser. Ophthalmic Surg. 1984 Sep;15(9):731–733. [PubMed] [Google Scholar]
  4. Jampel H. D., Pasquale L. R., Dibernardo C. Hypotony maculopathy following trabeculectomy with mitomycin C. Arch Ophthalmol. 1992 Aug;110(8):1049–1050. doi: 10.1001/archopht.1992.01080200029011. [DOI] [PubMed] [Google Scholar]
  5. Lieberman M. F. Suture lysis by laser and goniolens. Am J Ophthalmol. 1983 Feb;95(2):257–258. doi: 10.1016/0002-9394(83)90026-0. [DOI] [PubMed] [Google Scholar]
  6. Mandelkorn R. M., Crossman J. L., Olander R. W., Heacock G. A new argon laser suture lysis lens. Ophthalmic Surg. 1994 Jul;25(7):480–481. [PubMed] [Google Scholar]
  7. Melamed S., Ashkenazi I., Glovinski J., Blumenthal M. Tight scleral flap trabeculectomy with postoperative laser suture lysis. Am J Ophthalmol. 1990 Mar 15;109(3):303–309. doi: 10.1016/s0002-9394(14)74555-6. [DOI] [PubMed] [Google Scholar]
  8. Pappa K. S., Derick R. J., Weber P. A., Kapetansky F. M., Baker N. D., Lehmann D. M. Late argon laser suture lysis after mitomycin C trabeculectomy. Ophthalmology. 1993 Aug;100(8):1268–1271. doi: 10.1016/s0161-6420(93)31494-6. [DOI] [PubMed] [Google Scholar]
  9. Ritch R., Potash S. D., Liebmann J. M. A new lens for argon laser suture lysis. Ophthalmic Surg. 1994 Feb;25(2):126–127. [PubMed] [Google Scholar]
  10. Salamon S. M. Trabeculectomy flap suture lysis with endolaser probe. Ophthalmic Surg. 1987 Jul;18(7):506–507. [PubMed] [Google Scholar]
  11. Savage J. A., Condon G. P., Lytle R. A., Simmons R. J. Laser suture lysis after trabeculectomy. Ophthalmology. 1988 Dec;95(12):1631–1638. doi: 10.1016/s0161-6420(88)32964-7. [DOI] [PubMed] [Google Scholar]
  12. Schwartz A. L., Weiss H. S. Bleb leak with hypotony after laser suture lysis and trabeculectomy with mitomycin C. Arch Ophthalmol. 1992 Aug;110(8):1049–1049. doi: 10.1001/archopht.1992.01080200029010. [DOI] [PubMed] [Google Scholar]
  13. Tomey K. F. A simple device for laser suture lysis after trabeculectomy. Arch Ophthalmol. 1991 Jan;109(1):14–15. doi: 10.1001/archopht.1991.01080010016008. [DOI] [PubMed] [Google Scholar]
  14. Trope G. E., Pavlin C. J., Bau A., Baumal C. R., Foster F. S. Malignant glaucoma. Clinical and ultrasound biomicroscopic features. Ophthalmology. 1994 Jun;101(6):1030–1035. doi: 10.1016/s0161-6420(94)31222-x. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES