{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:18:08Z","timestamp":1792631888051,"version":"4.5.0"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2020,6,8]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the safety and efficacy of a novel modified subscleral trabeculectomy technique in management of primary congenital glaucoma.<jats:italic>Methods<\/jats:italic>. This study included 25 infants diagnosed of having bilateral primary congenital glaucoma. For each patient, one eye was assigned to undergo subscleral trabeculectomy with trimming of the edges of the scleral bed (group I), while the contralateral eye underwent subscleral trabeculectomy with application of mitomycin C (0.4\u2009mg\/ml for 3\u2009min) (group II). All the patients were followed up for a period of 14\u2009\u00b1\u20093 months (range 13\u201322 months).<jats:italic>Results<\/jats:italic>. 25 eyes were included in each group. Patients\u2019 mean age was 2.5\u2009\u00b1\u20090.5 months (range 1.8\u20136.5 months). The mean preoperative intraocular pressure was 31\u2009\u00b1\u20094.9\u2009mmHg and 32.1\u2009\u00b1\u20094.0\u2009mmHg in group I and II, respectively. The mean postoperative intraocular pressure was 9.0\u2009\u00b1\u20091.0, 11.0\u2009\u00b1\u20093.2, 12.5\u2009\u00b1\u20090.9, 13.0\u2009\u00b1\u20092.9, and 15.5\u2009\u00b1\u20091.5\u2009mm\u2009Hg in group I and was 10.3\u2009\u00b1\u20091.2, 12.0\u2009\u00b1\u20092.5, 13.5\u2009\u00b1\u20091.7, 15.0\u2009\u00b1\u20091.5, and 17.1\u2009\u00b1\u20092.8\u2009mm\u2009Hg in group II at the first week and 1, 3, 6, and 12 months, respectively. There was no statistically significant difference between the mean intraocular pressure values recorded at both groups preoperatively and at each follow-up visit. Failure necessitating further surgical interventions was recorded in 4 eyes (16%) in group I as compared to 3 eyes (12%) in group II (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>&gt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>). Postoperative complications included mild hyphema, which occurred in one eye (4%) in group I and 2 eyes (8%) in group II, and shallow anterior chamber in 3 eyes (12%) in group I and in 2 eyes (8%) in group II. One eye (4%) in group I developed drawn-up pupil. Choroidal effusion developed in one eye (4%) at each group.<jats:italic>Conclusion<\/jats:italic>. Trimming the edges of the scleral bed adjacent to the sclera flap is a safe and effective surgical step which can be added to the subscleral trabeculectomy procedure to effectively control the intraocular pressure in patients with primary congenital glaucoma, sparing them the hazards associated with mitomycin C application.<\/jats:p>","DOI":"10.1155\/2020\/2017158","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T23:31:01Z","timestamp":1591659061000},"page":"1-6","source":"Crossref","is-referenced-by-count":6,"title":["A Mitomycin C-Sparing Novel Technique for Subscleral Trabeculectomy in Primary Congenital Glaucoma"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5402-0205","authenticated-orcid":true,"given":"Ashraf","family":"Bor\u2019i","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah M.","family":"Al-Mosallamy","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer G.","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael M.","family":"El-Haig","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10008-1192"},{"key":"2","first-page":"1158","volume-title":"Antifibrotic agents in glaucoma surgery","year":"2019"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(79)35547-6"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(84)34179-3"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.73.8.608"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2015.182"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/bf00166608"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(02)01069-2"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.120.3.297"},{"key":"10","first-page":"79","volume-title":"Wound healing and glaucoma surgery: modulating the scarring process with conventional antimetabolites and new molecules","volume":"50","year":"2012"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-200306000-00015"},{"key":"12","first-page":"729","volume-title":"Epidemiology and pathophysiology of congenital glaucoma","year":"1996"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9394(98)00227-x"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/s1091-8531(99)70082-0"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(99)00130-x"},{"issue":"8","key":"16","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.3760\/cma.j.issn.0366-6999.20122631","volume":"126","year":"2013","journal-title":"Chinese Medical Journal"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2020\/2017158.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2020\/2017158.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2020\/2017158.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T06:06:13Z","timestamp":1723010773000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/joph\/2020\/2017158\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,8]]},"references-count":16,"alternative-id":["2017158","2017158"],"URL":"https:\/\/doi.org\/10.1155\/2020\/2017158","relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,8]]}}}