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[Visual field progression after trabeculectomy in primary open-angle glaucoma: preliminary results]
1Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal. amwane@refer.sn
Journal Francais D'Ophtalmologie
|July 15, 2009
Summary
Trabeculectomy improved visual fields in 59% of patients with primary open-angle glaucoma (POAG). Age and follow-up duration influenced visual field outcomes after this glaucoma surgery.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Outcomes
Context:
- Primitive open-angle glaucoma (POAG) presents challenges in patient adherence to medical treatments.
- Late diagnosis often leads to severe optic nerve damage at presentation.
- Visual field deficits are a key indicator of glaucoma progression.
Purpose:
- To assess visual field (VF) changes following trabeculectomy in POAG patients.
- To identify factors influencing VF variations for improved patient management.
- To evaluate the efficacy of trabeculectomy in a Senegalese population.
Summary:
- A prospective study of 17 eyes with POAG undergoing trabeculectomy was conducted.
- Mean intraocular pressure (IOP) decreased from 25.7mmHg to 14mmHg post-surgery.
- Visual field improvement or stability was observed in 59% of cases, with age and follow-up time being significant factors.
Impact:
- Trabeculectomy demonstrates potential as a necessary surgical intervention for POAG, especially when medical compliance is poor.
- The study highlights the importance of considering patient age and follow-up duration in predicting surgical success.
- Findings support trabeculectomy for specific POAG patient cohorts in resource-limited settings.
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