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[[Trabeculectomy in Madagascar. Retrospective study over 3 years]

P Bernardin, C Rabenantoandro, A Auzemery

    Revue Internationale Du Trachome Et De Pathologie Oculaire Tropicale Et Subtropicale Et De Sante Publique : Organe De La Ligue Contre Le Trachome Avec La Collaboration De L'International Organization Against Trachoma Et Des Organisation
    |January 1, 1994
    PubMed
    Summary

    Trabeculectomy effectively lowers ocular pressure in chronic glaucoma patients, with 87.23% achieving normalization. Key complications include cataracts in older patients, but pain relief is universal.

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    Area of Science:

    • Ophthalmology
    • Surgical Innovation
    • Glaucoma Management

    Context:

    • Chronic glaucoma affects males around 60.5 years old.
    • Trabeculectomy is a surgical intervention for glaucoma.
    • Cataract formation is a noted complication.

    Purpose:

    • To evaluate ocular pressure, glaucoma excavation, and complications post-trabeculectomy.
    • To assess long-term outcomes in chronic glaucoma patients.

    Summary:

    • 87.23% of patients achieved normalized ocular tension post-trabeculectomy.
    • Adjuvant medical treatment was needed in 10.53% of cases.
    • Ocular pressure stabilized after an initial rise.
    • Open-angle and post-traumatic glaucoma showed better pressure control.

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  • Visual acuity improved in 20.27% of cases.
  • Pain relief was observed in all patients.
  • Cataract opacification was the primary late complication, especially in patients over 70.
  • Impact:

    • Trabeculectomy provides significant pain relief and ocular pressure normalization in chronic glaucoma.
    • Identifies risk factors for complications, such as age for cataracts.
    • Informs surgical decision-making and patient counseling for glaucoma treatment.