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Intraoperative and postoperative complications in trabeculectomy, Clinical study
Barac Ramona1,2, Pop Monica1,2, Stanciu Paul-Eduard2
1Department of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Abstract:
Glaucoma represents a progresive multifactorial optic neuropathy characterised by retinal ganglion cell loss and atrophy of the optic nerve its main cause being high intraocular pressure. [1,2] Trabeculectomy is the most used surgical method when it comes to the majority of the ophthalmologists which is why knowing and managing the intraoperative and postoperative complications well is very important. [3] Objective/aim.The study aims to establish the success rate and to evaluate the intraoperative and postoperative complications in a group of 75 patients with glaucoma 1 year after surgery. Methods. A retrospective study was made on a group of 75 adult patients with different types of glaucoma which were refractory to medical treatment, for whom the treatment option was the trabeculectomy surgical intervention . Results and discussions. The success rate measured 1 year after the surgery was of 89%.The most complications were found in patients with open angle glaucoma, neovascular glaucoma and glaucoma secondary to vitreo-retinal surgery. Trabeculectomy is a surgical procedure associated with numerous complications, so much so that the follow-up and the management of the aforementioned complications are sometimes more laborious than the surgery itself.
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