Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Trabeculectomy in diabetic patients with glaucoma

C E Hugkulstone1, L F Smith, S A Vernon

  • 1Academic Unit of Ophthalmology, University Hospital, Nottingham, UK.

Eye (London, England)
|January 1, 1993
PubMed
Summary

Trabeculectomy is less effective in lowering intraocular pressure for diabetic patients, especially those with retinopathy. Diabetic patients experienced higher post-operative eye pressure compared to controls.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

How to defuse a demographic time bomb: the way forward?

Eye (London, England)·2017
Same author

The urgent need to develop emergency EYE care in the UK: the way forward?

Eye (London, England)·2017
Same author

Prevalence of age-related macular degeneration in an elderly UK Caucasian population-The Bridlington Eye Assessment Project: a cross-sectional study.

Eye (London, England)·2017
Same author

Is the 1-day postoperative IOP check needed post uncomplicated phacoemulsification in patients with glaucoma and ocular hypertension?

Eye (London, England)·2015
Same author

Socio-demographic inequalities in stage of cancer diagnosis: evidence from patients with female breast, lung, colon, rectal, prostate, renal, bladder, melanoma, ovarian and endometrial cancer.

Annals of oncology : official journal of the European Society for Medical Oncology·2012
Same author

Myopia and open angle glaucoma.

Ophthalmology·2012

Area of Science:

  • Ophthalmology
  • Diabetic Retinopathy
  • Glaucoma Surgery

Background:

  • Diabetes mellitus is a systemic disease with ocular complications.
  • Glaucoma is a common complication, often requiring surgical intervention like trabeculectomy.
  • Diabetic retinopathy may influence surgical outcomes in glaucoma patients.

Purpose of the Study:

  • To compare the efficacy of trabeculectomy in patients with diabetes mellitus versus non-diabetic controls.
  • To assess the impact of diabetic retinopathy on trabeculectomy outcomes.
  • To evaluate intraocular pressure control and surgical success rates post-trabeculectomy.

Main Methods:

  • Retrospective case-control study comparing 41 diabetic patients with 41 matched controls.
  • Patients underwent trabeculectomy over a 4-year period.
  • Matched for age, sex, surgical technique, and follow-up duration.

Main Results:

  • Diabetic patients had significantly higher intraocular pressure at 6 months post-surgery compared to controls.
  • Fewer diabetic patients achieved target intraocular pressure (< 21 mmHg) or successful drainage.
  • Trabeculectomy outcomes were poorer in diabetic patients with pre-existing retinopathy.

Conclusions:

  • Trabeculectomy demonstrates reduced efficacy in managing intraocular pressure in diabetic patients.
  • Diabetic status, particularly the presence of retinopathy, negatively impacts trabeculectomy success.
  • Further research is needed to optimize glaucoma management in diabetic patients.

Related Experiment Videos