Trabeculectomy: A Follow-up Study of 120 Cases in Terms of Intraocular Pressure
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 7
Abstract
The aim of the study was to access the efficacy of conventional trabeculectomy in lowering the intraocular pressure (IOP) in various types of glaucoma. A clinical evaluation of trabeculectomy was done in 120 cases of different types of glaucomaa. 60 were primary open-angle glaucoma, 13 were primary angle closure glaucoma, 42 were exfoliation glaucoma, and five were steroid-induced glaucoma. Patients were operated by conventional trabeculectomy and followed up for 6 months. Statistically there was highly significant reduction from mean pre operative level (36.12 ± 10.84) to last postoperative IOP (14.7 ± 3.17). Average postoperative IOP fall at 06 months from initial value was 21.42 mm Hg (59.3%). The complications were seen in 29.16% cases. Main complications were shallow AC 16.6% followed by hypahema 10 % and progression of lenticular changes 10 % cases The study concludes the conventional trabeculectomy is equally effective in controlling IOP in all four types of Glaucoma with few complications and is still gold standard for management of glaucoma. Trabeculectomy was successful in controlling IOP to <21 mmHg in 92% of cases and visual activity improved or was maintained in 80% of cases.
Authors and Affiliations
Abdul Aziz Makayee, Nilofar Nazir, Maroof Nabi, Nahida Bashir
Keywords
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