Abstract | PURPOSE: METHODS: Retrospective chart review of the medical records of 75 patients (75 eyes) who underwent trabeculectomy surgery, with or without peripheral iridectomy, who had been followed for more than 1 year. Data were collected preoperatively, 1 day postoperatively, on days 30-90 postoperatively, and 1-3 years postoperatively. The collected data included visual acuity, intraocular pressure, bleb development, postoperative inflammation, and complications. Thirty-six eyes (48%) had cataract extraction at the time of trabeculectomy. A peripheral iridectomy was performed in 43 cases (57%). Student's t-test was used for the statistical analyses. RESULTS: CONCLUSIONS:
Trabeculectomy performed without peripheral iridectomy appears to be as effective in lowering intraocular pressure as when performed with peripheral iridectomy, but it is a safer procedure, with a lower incidence of postoperative inflammation. It may be an advantage to avoid performing peripheral iridectomy during trabeculectomy in eyes that are not predisposed to postoperative shallowing of the anterior chamber or pupillary block.
|
Authors | D S M de Barros, R S Da Silva, G A Siam, M E Gheith, C M Nunes, D Lankaranian, E H Tittler, J S Myers, G L Spaeth |
Journal | Eye (London, England)
(Eye (Lond))
Vol. 23
Issue 2
Pg. 362-7
(Feb 2009)
ISSN: 1476-5454 [Electronic] England |
PMID | 17992195
(Publication Type: Journal Article)
|
Topics |
- Adult
- Aged
- Aged, 80 and over
- Anterior Chamber
(pathology)
- Cataract Extraction
- Endophthalmitis
(etiology)
- Female
- Glaucoma
(physiopathology, surgery)
- Humans
- Intraocular Pressure
- Iridectomy
(adverse effects, methods)
- Male
- Middle Aged
- Retrospective Studies
- Trabeculectomy
(adverse effects, methods)
- Treatment Outcome
- Visual Acuity
|