Indications, complications and outcomes of trabeculectomy on the primary open-angle glaucoma patients
Trauma Monthly: 14 (4); 235-241 Article Type: Research Article
M, Zare Mehrjardi
A. Indications, complications and outcomes of trabeculectomy on the primary open-angle glaucoma patients,
Online ahead of Print
Aims: The primary open-angle glaucoma is the most prevalent glaucoma that cause to progressive and bilateral visual loss. According to that the trabeculectomy is the most frequent used filtering operation for intraocular pressure reduction and is the gold standard, this study was performed to evaluate the indications, complications and outcomes of trabeculectomy. Materials & Methods: This interventional study was done in 100 valenteer patients (156 eyes) with primary open-angle glaucoma in optometry clinics of Yazd University of Medical Sciences hospitals from April, 2004 to March, 2007. Sampling was sequential and patients were follow for 3 to 38 months. Data was analyzed by SPSS ?? software with paired T test method. Results: Medical treatment failure for IOP control is the main indication of trabeculectomy (29.4%). In about 14.3 months of following up, 91% of trabeculectomies were completely or partialy successful. The mean of pressure reduced from 29.7 to 15.6 mmHg. Intra-operative complications were seen in 10.2% of patients. Early post-operative complications were seen in 51.3% of patients. Late post-operative complications were seen in 39.8% of patients. Conclusion: Trabeculectomy is useful for controlling IOP and maitaning and improving visual acuity in cases that patients don’t answer to drug treatment or drug treatment cause decreasing of visual acuity and viewing field and cup enlargement in them or by any reason are unsatisfied with medication.
Glaucoma; Intra-Ocular Pressure; Trabeculectomy; Filtering Procedure; Glaucomatous Damages
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