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Sodium hyaluronate improves post-trabeculectomy complications

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A dose of sodium hyaluronate after trabeculectomy significantly improves some typical early postoperative complications, according to researchers in Turkey.

Gokhan Gulkilik, MD, and colleagues prospectively studied 51 eyes of 51 patients treated with trabeculectomy for various glaucomas. Surgeons injected sodium hyaluronate in 24 eyes and injected balanced salt solution in 27 eyes.

Dr. Gulkilik and his colleagues found significant differences postoperative complications between the groups. Hypotony occurred in 40.7% of control eyes and in only 8.3% of sodium hyaluronate-treated eyes. Anterior chamber shallowing occurred in 37% of control eyes and 8.3% in sodium hyaluronate-treated eyes. Also, choroidal detachment occurred in 33.3% of control eyes but no sodium hyaluronate-treated eyes, according to the study.

The study was published in the July issue of Clinical and Experimental Ophthalmology.