Four year follow-up of a glaucoma operation

Greve, E. L.; Dake, C. L.

doi:10.1007/bf00137491

Cited by 24 publications

(2 citation statements)

References 16 publications

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“…It is most encouraging to find, however, that a cataract extraction post trabeculectomiam poses no more surgical problems than an ordinary cataract extraction ?30 trnbeculectomier Greve & Dake (1979) Tuhle X . Comparison of tension results and post-operative therapy after glaucoma surgery.…”

Section: Discussionmentioning

confidence: 99%

“…One recent study by Greve & Dake (1979) presenting the four years results after 'double flap Scheie' is sufficently similar in design to allow a comparison of certain parameters as given in Table X. The 'double flap Scheie' can be described as a thermal trabeculostomy covered with one laminar scleral and one conjunctival flap, and as such is very similar to our trabeculectomy technique.…”

Section: Discussionmentioning

confidence: 99%

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330 Trabeculectomies a Long Time Study (3–5½ Years)

Jerndal

Lundström

1980

Acta Ophthalmologica

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281 eyes out of 330 were followed during 3 to 5 1/2 years after trabeculectomy. 32 eyes were drop-outs due to death and 17 eyes due to inability to participate in the examination program. The mean age at time of surgery was 66 years. A mean pre-operative IOP of 31 mmHg dropped to a mean post-operative level of 18 mmHg. In 57% a single trabeculectomy was considered enough to control the glaucoma. Post-operative medical treatment was considered necessary in 35%. In 87% the pre-operative progress of the field defect was arrested. A reoperation was performed in 8%. The early complications were very few, but in 25% slowly developing cataract was observed. A cataract extraction was performed in 29 eyes post trabeculectomiam with a favourable visual outcome. This study confirms the opinion that trabeculectomy is an atraumatic and efficient surgical procedure and a necessary therapeutic measure when the tolerable combination of antiglaucoma drugs proves insufficient to control the glaucoma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

330 Trabeculectomies a Long Time Study (3–5½ Years)

Jerndal

Lundström

1980

Acta Ophthalmologica

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Outcomes of Primary Trabeculectomy With the Use of Adjunctive Mitomycin

Scott¹

1998

Arch Ophthalmol

125

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To investigate the efficacy and safety of adjunctive mitomycin when used during a primary trabeculectomy within a series of 89 consecutive patients at 1 and 2 years postoperatively. Design: A cohort study of all patients who underwent primary trabeculectomy, performed by one of us (P.F.P.), between April 1, 1991, and December 31, 1994. Patients received topical mitomycin in conjunction with a corneal safety valve incision. A trabeculectomy was considered "successful" if it resulted in an intraocular pressure (IOP) of 21 mm Hg or lower and a 30% or greater reduction in the IOP at and after 1 year of follow-up, with or without medications and without a reoperation for an elevated IOP. Survival analysis was used to calculate success rates. Results: The 1-and 2-year success rates were 85.4% and 77.9%, respectively. The mean IOP was reduced from 26.3 to 11.3 mm Hg at 1 year (n=68) and to 11.9 mm Hg at 2 years (n=56), with 60 (88.2%) of 68 patients off medication at 1 year and 47 (83.9%) of 56 patients off medication at 2 years. Trabeculectomy success rates were significantly lower in black compared with nonblack patients (76.2% vs 87.5% at 1 year, P=.03). Trabeculectomy failure occurred throughout the follow-up period. Endophthalmitis occurred in 2 (2.2%) of the patients, and hypotonia requiring revision occurred in 4 (4.5%) of the patients. Conclusions: Primary trabeculectomy with the use of intraoperative mitomycin lowered the IOP by 30% or more in 78% (at 2 years) to 86% (at 1 year) of the cases and is associated with a marked reduction in the percentage of patients who require glaucoma medication. Success rates must be evaluated in light of such risks as endophthalmitis and hypotony.

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Adverse Effects of Topical Antiglaucoma Medication-Reply

Broadway¹,

Hitchings²

1995

Arch Ophthalmol

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Four year follow-up of a glaucoma operation

Cited by 24 publications

References 16 publications

330 Trabeculectomies a Long Time Study (3–5½ Years)

330 Trabeculectomies a Long Time Study (3–5½ Years)

Outcomes of Primary Trabeculectomy With the Use of Adjunctive Mitomycin

Adverse Effects of Topical Antiglaucoma Medication-Reply

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