advertisement
Abstract #90068 Published in IGR 21-3
The outcome of surgical treatment in advanced glaucoma
El Afrit MA; Saadouli D; Hachicha G; Ben Mansour K; El Afrit N; Yahyaoui SArchivos de la Sociedad Española de Oftalmologia 2021; 96: 189-194
INTRODUCTION: There is uncertainty regarding the outcomes of glaucoma surgery for patients with advanced glaucoma, because it may be associated with the «wipe out» phenomenon. The aim of this study was to evaluate the outcome of surgical treatment in advanced glaucoma. METHODS: This retrospective study included 67eyes of 49 patients with end-stage glaucoma in which glaucoma surgery was carried out. The clinical records prior to and after surgery were reviewed. Follow up period was 14.4months. RESULTS: The mean age was 50.2years and the sex ratio was 0.75. All the patients had a tubular visual field with persistence of a central island. The mean value of the mean deviation on automated perimetry was 18.94dB±4.7. The mean intraocular pressure (IOP) before surgery was 27.16mmHg±8.9. Postoperatively the overall success rate was 93% (IOP <18mmHg with stable visual acuity). The mean IOP was 14.25mmHg±4.12 (P<.001). There was no significant change in the mean visual acuity. The mean value of the mean deviation was 18.83±4.69 (P=.07). No occurrence of wipe-out phenomenon was noted. The early postoperative complications were hypotony, hyphema and ocular hypertension and they were transient without causing any visual loss. Long term complications were late bleb fibrosis and progression of cataract. CONCLUSION: Glaucoma surgery had beneficial effects in the majority of patients with advanced glaucoma. Postoperative IOP was in general under control and visual acuity was preserved without any cases of wipe-out.
Department of Ophthalmology, La Rabta Hospital, Túnez, Túnez; Faculty of Medicine of Tunisia, Túnez, Túnez; University of Tunis El Manar, Túnez, Túnez.
Full articleClassification:
12.1 General management, indication (Part of: 12 Surgical treatment)
