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[Long-term follow-up of 700 trabeculectomies]
M A Khalili1, M Diestelhorst, G K Krieglstein
1Universitäts-Augenklinik Köln, Deutschland.
Background:
A major focus of our study was to determine the value of postoperative intraocular pressure (IOP) in predicting the outcome of trabeculectomy (TE).
Patients And Methods:
The medical charts of 547 patients undergoing glaucoma filtering surgery at the Department of Ophthalmology of the University of Cologne from 1987 to 1996 were reviewed. The eyes with congenital glaucoma and those treated with anti-metabolites were excluded.
Results:
Defining the qualified criteria for success of trabeculectomy as an IOP
Conclusion:
The identification of patients at risk of failure in terms of IOP in the early post-operative period is possible, thus, closer follow-up and early medical or surgical intervention may be indicated. Should trabeculectomy be the therapy of first choice in the early stage of glaucoma and in case of failure in the first eye, this would allow options, such as the use of anti-metabolites in the second eye.