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Abstract #27563 Published in IGR 12-4
Trainee glaucoma surgery: Experience with trabeculectomy and glaucoma drainage devices
Connor MA; Knape RM; Oltmanns MH; Smith MFOphthalmic Surgery Lasers and Imaging 2010; 41: 523-531
BACKGROUND AND OBJECTIVE: To examine outcomes of trabeculectomy with mitomycin C and glaucoma drainage device placement for uncontrolled glaucoma when performed by resident surgeons. PATIENTS AND METHODS: This study included any patient who underwent a trabeculectomy with mitomycin C (n = 93) or a glaucoma drainage device (n = 60) by a resident surgeon between 2001 and 2006. Outcome measures at 3, 6, and 12 months included failure of treatment, number of follow-up appointments, complications, number of medications, and need for further surgery. RESULTS: One year postoperatively, intraocular pressure averaged 12.1 (plus or minus) 5.1 mm Hg in the trabeculectomy group and 13.0 (plus or minus) 5.1 mm Hg in the glaucoma drainage device group (P = .31). Complications occurred in 30% of eyes with trabeculectomy and 10% of eyes with a glaucoma drainage device. CONCLUSION: During the first postoperative year, glaucoma drainage device surgery may have fewer complications and less morbidity than a trabeculectomy with mitomycin C when these surgeries are performed by resident surgeons. Final intraocular pressures were similar between the two groups. Copyright (copyright) SLACK Incorporated.
R. M. Knape. Department of Ophthalmology, University of Florida, College of Medicine, P. O. Box 100284, Gainesville, FL 32610, United States.
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
