Related Experiment Video
Updated: Aug 9, 2026
09:03
Trabecular Meshwork Response to Pressure Elevation in the Living Human Eye
Published on: June 20, 2015
South-East Scotland trabeculectomy survey
P Cackett1, J Vallance, C Cobb
1Princess Alexandra Eye Pavilion, Chalmers Street, Edinburgh, UK. pete@pdcackett.demon.co.uk
Eye (London, England)
|October 11, 2005
Summary
Trabeculectomy outcomes in South-East Scotland show reduced waiting times and improved intraocular pressure control compared to a national survey. Despite more early complications and interventions, long-term results are comparable.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Surgical Outcomes
Background:
- Trabeculectomy is a primary surgical treatment for glaucoma.
- Previous national surveys provide benchmarks for surgical outcomes.
- Assessing current practices and outcomes is crucial for improving patient care.
Purpose of the Study:
- To assess trabeculectomy outcomes in South-East Scotland (SESTS).
- To compare SESTS outcomes with the National Survey of Trabeculectomy (NST).
- To evaluate outcomes based on surgeon experience (consultant vs. trainee).
Main Methods:
- Retrospective study of 304 primary trabeculectomies in two Scottish centers.
- Involved glaucoma specialists and higher surgical trainees.
- Data collected on patient demographics, glaucoma type, surgical procedures, and outcomes.
Main Results:
- SESTS had significantly shorter waiting times for surgery compared to NST.
- Higher use of antimetabolites and bleb interventions in SESTS.
- More patients in SESTS achieved unqualified success (IOP < 21 mmHg and < 16 mmHg).
- Reduced visual loss and medication use at 1 year post-surgery in SESTS.
- Trainee cases had more reoperations and interventions but similar long-term outcomes to consultant cases.
Conclusions:
- Trabeculectomy practice and outcomes have significantly evolved since the NST.
- Current South-East Scotland practices demonstrate improved efficiency and efficacy.
- Supervised trainee surgery yields comparable long-term outcomes to consultant surgery.
