Merits of trabeculectomy in advanced and end stage glaucoma

Authors

  • Rayees Ahmad Sofi Eye surgeon, government medical college, srinagar
  • Shahnawaz Shafi government medical college, srinagar
  • Waseem Qureshi registrar academics, govt medical college srinagar
  • Sehrish Ashraf

Keywords:

Glaucoma, intraocular pressure, trabeculectomy

Abstract

Objectives: The aim of the study was to evaluate intraocular pressure (IOP) control, potential benefits and associated complications in advanced cases of glaucoma (visual acuity of less than 6/60) after trabeculectomy. Though many studies of trabeculectomy in glaucoma patients have been done, but very few in such advanced cases.

Methods: The study was done on 60 cases of advanced primary open angle glaucoma. Trabeculectomy was done and IOP control was assessed. Preoperative workup included a detailed history, slit lamp biomicroscopy, Goldmann applanation tonometry, gonioscopy using Goldmann 2 mirror lens and detailed fundus examination with the 78D lens. All the patients were to undergo optical coherence tomography and Humphrey automated perimetry.

Results: Out of 60 patients with primary open angle glaucoma, 48 were males and 12 were females with a ratio of 4:1. Of all the sixty cases, thirty-six had a visual acuity of 20/200, sixteen had a visual acuity of hand movements (HM), and eight patients had a visual acuity of perception of light (PL). The mean preoperative IOP was measured as 37.01mmHg with SD± 8.82. The mean postoperative IOP was found 17.92mmHg with SD± 3.17. There was a mean drop of 19mmHg of IOP post operatively. The P Value was highly significant (p<0.000).

Conclusion: Trabeculectomy is a successful method of controlling intraocular pressure in patients with advanced glaucoma. Trabeculectomy is the method of reducing Intraocular pressure in medically uncontrolled patients.  A pain-free eye was associated with better quality of life in patients. A successful trabeculectomy helps to preserve the residual vision in such patients. 

Author Biography

Rayees Ahmad Sofi, Eye surgeon, government medical college, srinagar

senior resident, department of ophthalmology, gmc, srinagar

Downloads

Published

2018-02-01

How to Cite

Sofi, R. A., Shafi, S., Qureshi, W., & Ashraf, S. (2018). Merits of trabeculectomy in advanced and end stage glaucoma. International Journal of Health Sciences, 12(2). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/2336

Issue

Vol. 12 No. 2 (2018): Mar-Apr

Section

Original Paper

License


Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

Most read articles by the same author(s)