advertisement
Abstract #60806 Published in IGR 16-4
Visual outcome after trabeculectomy - a retrospective study
Dülli L; Winkler N; Töteberg-Harms M; Funk J; Schweier CKlinische Monatsblätter für Augenheilkunde 2015; 232: 399-404
BACKGROUND: Trabeculectomy (TE) is the standard operation for glaucoma. An alternative interventional treatment of glaucoma is the cyclophotocoagulation (CPC). In a data analysis in 2012, a visual loss was found after transscleral CPC. The aim of this study was to investigate the outcome after TE. PATIENTS AND METHODS: 91 patients with pseudoexfoliation (n = 38), open angle (n = 22), normal tension (n = 8), congenital (n = 1) and secondary glaucoma (n = 22) were included. The follow-up time was 24 months. Intraocular pressure (IOP), best corrected visual acuity (BCVA) and the total number of antiglaucoma drugs (AGD) were recorded. RESULTS: The mean age was 68.18 ± 12.12 years. Mean IOP reduction after 24 months was 14.76 ± 10.62 mmHg (- 49 %, p < 0.001). On average, 2.34 ± 1.17 (- 85 %, p < 0.001) AGDs could be reduced. A mean BCVA decrease of 0.15 logMAR (± 0.26, p < 0.001) was found. CONCLUSION: TE is a successful method for lowering the IOD. However, postoperative visual loss is possible.
Augenklinik, Universitätsspital Zürich, Zürich, Schweiz.
Full articleClassification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
9.2.3 Open angle glaucoma with elevated IOP (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
