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- Title
Short-term Outcomes of Trabeculectomy Surgery in Primary Open-Angle Glaucoma.
- Authors
Bukhatwa, Samar A.; Metmoah, El-Said G.
- Abstract
Introduction: Trabeculectomy controls the intraocular pressure (IOP) and decreases the progress of open-angle glaucoma; the outcome of such procedure has not been ascertained in Libya. Objective: We report the short-term outcome of trabeculectomy in terms of IOP in primary open-angle glaucoma (POAG). Settings and Design: The medical records of the trabeculectomy patients previously diagnosed with POAG were reviewed retrospectively. Patients and Methods: Case characteristics were extracted including preoperative IOP and the IOP outcome 6 months postoperatively using Goldmann applanation tonometry. Data were presented as frequencies and mean ± standard deviation. Wilcoxon signed-ranks test was used to analyze the changes in the measurement of IOP after trabeculectomy. Results: Fifty-seven cases had trabeculectomy with a mean age of 51.6 ± 12.2 years. There was a statistically difference (P < 0.0001) in the IOP measurement pre and 6 months post trabeculectomy. 39 patients (68.4%) achieved an IOP of <21 mmHg 6 months after surgery without medications. IOP decreased from 33.2 ± 6.5 mmHg before surgery to 18.8 ± 5.8 mmHg after surgery. All the cases with preoperative IOP of 21-30 mmHg had a posttrabeculectomy IOP < 21 mmHg (P < 0.0001). The rate of complications was low; seven eyes (12.3%) developed early postoperative complications that resolved within 2 weeks. Conclusions: This is the first report on trabeculectomy surgery in Libya. The results are encouraging with a low complication rate. This warrants further evaluations of long term outcomes.
- Subjects
LIBYA; TRABECULECTOMY; OPEN-angle glaucoma; TREATMENT effectiveness; INTRAOCULAR pressure; SURGICAL complications; PRESSURE control
- Publication
Ibnosina Journal of Medicine & Biomedical Sciences, 2021, Vol 13, Issue 3, p122
- ISSN
1947-489X
- Publication type
Article
- DOI
10.4103/ijmbs.ijmbs_144_20