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[Visual outcome after trabeculectomy - a retrospective study].

L Dülli1, N Winkler1, M Töteberg-Harms1

  • 1Augenklinik, Universitätsspital Zürich, Zürich, Schweiz.

Klinische Monatsblatter Fur Augenheilkunde
|April 23, 2015
PubMed
Summary
This summary is machine-generated.

Trabeculectomy (TE) effectively lowers intraocular pressure (IOP) and reduces glaucoma medications. However, this glaucoma surgery carries a risk of postoperative visual loss.

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Area of Science:

  • Ophthalmology
  • Surgical Interventions
  • Glaucoma Research

Context:

  • Trabeculectomy (TE) is a standard surgical treatment for glaucoma.
  • Cyclophotocoagulation (CPC) is an alternative interventional therapy.
  • Previous studies noted visual loss after transscleral CPC.

Purpose:

  • To evaluate the outcomes of trabeculectomy (TE) in glaucoma patients.
  • To assess the efficacy and safety of TE over a 24-month follow-up period.

Summary:

  • This study included 91 glaucoma patients (pseudoexfoliation, open angle, normal tension, congenital, secondary).
  • Mean intraocular pressure (IOP) decreased by 14.76 mmHg (-49%, p<0.001).
  • Antiglaucoma drug (AGD) use reduced by an average of 2.34 drugs (-85%, p<0.001), with a mean best-corrected visual acuity (BCVA) decrease of 0.15 logMAR.

Impact:

  • Trabeculectomy demonstrates significant success in reducing IOP and medication dependence in glaucoma patients.
  • The findings highlight the potential for postoperative visual loss following TE, necessitating careful patient monitoring.