advertisement
Abstract #6905 Published in IGR 4-1
Immediate and late intraocular pressure levels after trabeculectomy with releasable sutures
Hornova J; Novakova DČeska a Slovenska Oftalmologie 2001; 57: 403-407
PURPOSE: To evaluate the level of intraocular pressure (IOP) and clinical status the first day after trabeculectomy (TE) with releasable sutures (RS), and to follow up the extraction of RS in correlation with early and late postoperative level of IOP. METHODS: In a retrospective study, 40 patients with open angle-glaucoma were followed. They underwent TE with two RS on both eyes. RESULTS: Hypotony (IOP less than 6 mmHg) was noted in 15 eyes (19%) the first day after operation, and a shallow anterior chamber in five (6%). An IOP level higher than 20 mmHg was found in 11 eyes (13%) one day after surgery. No RS were extracted in the first group of 26 eyes. The early mean IOP was 10.15 ± 7.1 mmHg the first day after surgery. IOP increased to a mean level of 15.3 ± 3.8 mmHg two years after TE, 65% of eyes were not undergoing glaucoma therapy. One RS was extracted in the second group of 28 eyes. The early mean level of IOP was 10.7 ± 6.5 mmHg, the late level 13.9 ± 3.7 mmHg. The target pressure was maintained in 68% of the eyes without additional glaucoma therapy. The third group of 26 eyes had two RS were extracted after TE. The early mean level of IOP was 14.7 ± 6.9 mmHg, the mean level of IOP was 15.8 ± 3.9 mmHg two years after surgery, 39% of eyes were not undergoing glaucoma therapy. CONCLUSIONS: An IOP level lower than 6 mmHg or higher than 20 mmHg on the first day after operation should not be an indicator of failure of surgery. Observing the level of IOP three to five days after surgery determines whether RS should be removed or not. The use of RS prevents short-term complications and the extraction of RS during the postoperative period can positively influence the evaluation of filtration.LA: Czech
Dr. J. Hornova, Ocni klinika FN KV a 3. LF UK, Prague, Czechia
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
