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Victorian trabeculectomy audit.

Jennifer C Fan Gaskin1,2, Sukhpal S Sandhu1,2, Mark J Walland1,2

  • 1Centre for Eye Research Australia, Melbourne, Victoria, Australia.

Clinical & Experimental Ophthalmology
|March 22, 2017
PubMed
Summary
This summary is machine-generated.

This audit of trabeculectomy surgery in Victoria found excellent efficacy and safety, comparable to international standards. Combined procedures showed higher intra-ocular pressure than trabeculectomy alone.

Keywords:
anti-fibroticfiltration surgeryglaucomatrabeculectomywound healing

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Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Glaucoma Management

Background:

  • Trabeculectomy is the standard glaucoma surgery but faces scrutiny due to risks.
  • Assessing real-world efficacy and safety is crucial for current practice.

Purpose of the Study:

  • To audit the efficacy and safety of trabeculectomy in Victoria, Australia.
  • To evaluate outcomes including intra-ocular pressure and complications.

Main Methods:

  • A voluntary, statewide, retrospective audit of 227 trabeculectomies performed in 2012.
  • Data collected included pre-operative, peri-operative, and 24-month post-operative outcomes.
  • Key outcome measures were intra-ocular pressure and surgical complications.

Main Results:

  • Mean 12-month intra-ocular pressure was 12.6 mmHg; 91% of eyes achieved ≤18 mmHg.
  • No cases of blebitis or endophthalmitis were reported at 24 months.
  • Combined cataract extraction and trabeculectomy resulted in higher mean intra-ocular pressure (13.9 mmHg) versus trabeculectomy alone (12.2 mmHg).

Conclusions:

  • Victorian Trabeculectomy Audit confirms high efficacy and safety, meeting international benchmarks.
  • Trabeculectomy remains a viable and effective glaucoma surgical option.
  • Consideration of combined procedures is warranted due to potential impact on intra-ocular pressure.