advertisement
Abstract #67300 Published in IGR 17-4
Trabeculectomy Outcomes by Supervised Trainees in a Veterans Affairs Medical Center
Biggerstaff KS; Vincent RD; Lin AP; Orengo-Nania S; Frankfort BJJournal of Glaucoma 2016; 25: 669-673
PURPOSE: To evaluate the outcomes of trabeculectomy performed in an ophthalmology training program. DESIGN: Retrospective study. PARTICIPANTS: A total of 160 patients undergoing trabeculectomy performed by a resident or fellow under attending supervision. MATERIALS AND METHODS: Trabeculectomy surgeries performed by a supervised resident or fellow surgeon between October 2000 and April 2010 were reviewed. Success was considered to be complete or partial if intraocular pressure (IOP)-lowering medications were not or were required to achieve IOP≤21 mm Hg, respectively. Failure was defined as IOP>21 mm Hg on 2 consecutive visits, loss of light perception vision, IOP≤5 on 2 consecutive visits with associated visual acuity loss of ≥2 lines, or need for surgical intervention. Trabeculectomy survival was determined using Kaplan-Meier analysis through 60 months of follow-up. MAIN OUTCOME MEASURES: Final IOP, success/failure rate. RESULTS: Complete success was achieved in 65 patients (41%). The average final IOP of this group was 9.1±3.7 mm Hg. Qualified success was achieved in 56 patients (35%). The average final IOP of this group was 11.5±6.4 mm Hg. At 60 months, the estimated cumulative probability of survival for complete and qualified successes was 28.9% and 63.7%, respectively. CONCLUSIONS: Among patients undergoing trabeculectomy by supervised residents or glaucoma fellows in a large Veterans Affairs Medical Center, IOP reduction was significant and similar to published studies. Trabeculectomy remains a successful intervention to lower IOP, with satisfactory success rates in the hands of trainee surgeons.
Department of Ophthalmology, Baylor College of Medicine, Houston, TX.
Full articleClassification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
15 Miscellaneous
13.2.1 IOP (Part of: 13 Therapeutic prognosis and outcome > 13.2 Outcome)