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- Title
Management of Glaucoma Capsulare: Outcomes and Complications of Trabeculectomy.
- Authors
Soomro, Abdul Rafio; Soomro, Fayaz Ahmed; Hussain, Munawar; Soomro, Abdul Qadeem; Qazi, Asif Mashood; Tariq, Anas Bin
- Abstract
Purpose: To analyze the results of filtration surgery in cases of Glaucoma Capsulare. Study Design: Interventional case series. Place and Duration: Al-Ibrahim Eye Hospital, Karachi, from January 2018 to December 2018. Methods: Forty eyes of forty patients, between 50 to 80 years of age, with Glaucoma Capsulare, not controlled with topical medication were included in the study. Patients not willing for filtration surgery and those who had any other ocular disease were excluded. Pre-operative examination, including visual acuity, retinoscopy, intra ocular pressure and fundus examination was done. Complete blood count, blood sugar and urine complete were also carried out to rule out any other illness. All collected data was analyzed through software SPSS version 20. Results: There were 26 (65.0%) males and 14 (35.0%) females. Mean age was 62.1 ± 12.44 years. Mean preoperative IOP was 34.0 ± 2.43 mm Hg. At first follow-up visit mean IOP (mm Hg) was 11.44 ± 3.2 and at 12 weeks follow-up, the IOP was 10.14 ± 4.1. Angle 0 - I (closed angle) was seen in 6 (15.0%), Angle grade II - III (Open angle) was seen in 10 (25.0%) and grade III - IV (open angle) was seen in 24 (60.0%) patients. Base line visual acuity was 6/9 in 4 (10.0%), 6/12 - 6/18 in 10 (25.0%), 6/18 - 6/24 in 12 (30.0%) and 6/36 - 6/60 in 14 (35.0%) patients. Early complications were flat anterior chamber in 4 (10%) and corneal edema in 4 (10%) patients. However late complications were hyphema and cataract in 2 (5%) and 25 (62.5%) patients respectively. Conclusion: Trabeculectomy significantly lowers the intraocular pressure in patients with Glaucoma Capsulare.
- Subjects
TRABECULECTOMY; GONIOSCOPY; EXFOLIATION syndrome; INTRAOCULAR pressure; EDEMA
- Publication
Pakistan Journal of Ophthalmology, 2020, Vol 36, Issue 4, p355
- ISSN
0886-3067
- Publication type
Article
- DOI
10.36351/pjo.v36i4.1000