advertisement
Abstract #21846 Published in IGR 10-3
Medium-term outcomes of safe surgery system trabeculectomies
Gale J; Wells APBritish Journal of Ophthalmology 2008; 92: 1232-1235
AIM: To assess the safety and success of Safe Surgery System trabeculectomy beyond 3 years. METHODS: Consecutive case series of 39 eyes in 32 patients. Trabeculectomy was performed using fornix-based conjunctival flap, standard trabeculectomy punch, adjustable scleral flap sutures and antimetabolite treatment. Primary outcome of surgical failure was defined by two criteria: (A) need for further surgery, glaucoma medications or an intraocular pressure (IOP) > 21 mmHg during > 10% of follow-up; or (B) IOP >15 mmHg for > 10% follow-up. A relatively aggressive regime of bleb needling and subconjunctival injections was used postoperatively in an attempt to reduce bleb fibrosis and failure. The mean follow-up was 42 months (range 25-55). RESULTS: The rate of surgical failure was 4.4% per eye-year for criterion A, and 8.0% per eye-year for criterion B. Complications were few and compared favourably with other published series. CONCLUSION: The Safe Surgery System for trabeculectomy provides excellent IOP control both during the operation and in the short and medium term postoperatively, with few complications or surgical failures.
Dr. J. Gale, Ophthalmology Department, Capital & Coast District Health Board, Wellington, New Zealand
Classification:
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
