[Visual outcome after trabeculectomy - a retrospective study].

Abstract

BACKGROUND:

Trabeculectomy (TE) is the standard operation for glaucoma. An alternative interventional treatment of glaucoma is the cyclophotocoagulation (CPC). In a data analysis in 2012, a visual loss was found after transscleral CPC. The aim of this study was to investigate the outcome after TE.

PATIENTS AND METHODS:

91 patients with pseudoexfoliation (n=38), open angle (n=22), normal tension (n=8), congenital (n=1) and secondary glaucoma (n=22) were included. The follow-up time was 24 months. Intraocular pressure (IOP), best corrected visual acuity (BCVA) and the total number of antiglaucoma drugs (AGD) were recorded.

RESULTS:

The mean age was 68.18±12.12 years. Mean IOP reduction after 24 months was 14.76±10.62 mmHg (-49%, p<0.001). On average, 2.34±1.17 (-85%, p<0.001) AGDs could be reduced. A mean BCVA decrease of 0.15 logMAR (±0.26, p<0.001) was found.

CONCLUSION:

TE is a successful method for lowering the IOD. However, postoperative visual loss is possible.

• Authors: L Dülli, N Winkler, M Töteberg-Harms, J Funk, C Schweier
• Journal: Klinische Monatsblatter fur Augenheilkunde (Klin Monbl Augenheilkd) Vol. 232 Issue 4 Pg. 399-404 (Apr 2015) ISSN: 1439-3999 [Electronic] Germany
• Vernacular Title: Visusentwicklung nach Trabekulektomie - eine retrospektive Studie.
• PMID: 25902086 (Publication Type: English Abstract, Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Glaucoma (complications, diagnosis, surgery)
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Trabeculectomy (adverse effects, methods)
• Treatment Outcome
• Vision Disorders (diagnosis, etiology, prevention & control)
• Visual Acuity