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OBJECTIVE: To explore the relationship of the long-term administration of 1% pilocarpine with trabeculectomy outcomes. METHODS: Eighty-eight patients with primary closure-angle glaucoma were divided into three groups according to the duration of topical medication before trabeculectomy. Intraocular pressure (IOP), visual fields, filtering bleb, filtering fistula, and iris adhesion were examined postoperatively. RESULTS: The successful rate of trabeculectomy was significantly low in patients on more than three years of topical medication. There was some significant difference in IOP (p < 0.01), visual fields (p < 0.01), filtering bleb (p < 0.05), filtering fistula (p < 0.01) and iris adhesion (p < 0.01). CONCLUSIONS: The trabeculectomy outcome is significantly related to long-term administration of 1% pilocarpine. The time of topical medication should be shortened preoperatively as early as possible. LA: Chinese
Dr. J. Zhang, Tianjin Second Central Hospital, Tianjin 300120, China
9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)