Outcomes of Trabeculectomy in Africa

Soatiana, Joella Eldie; Kpoghoumou, Marce-Amara; Kalembo, Fatch Welcome; Zhen, Huyi

doi:10.4236/ojoph.2013.33019

Cited by 4 publications

(4 citation statements)

References 53 publications

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“…Soatiana et al [13], comparing outcomes of Trabeculectomies across Africa reviewed studies from 5 Sub Saharan countries. For these studies IOP control was successful with a range of 10-22mmHg (drop of 61.8-90%).…”

Section: Discussionmentioning

confidence: 99%

Outcome of Trabeculectomy in Advanced Glaucoma in a tertiary hospital in Rivers State, Nigeria

Awoyesuku¹,

Fiebai²

2018

Int J Clin Exp Ophthalmol

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Aim: To evaluate the outcome of Trabeculectomy in advanced glaucoma in a hospital in Rivers State, Nigeria. Methods: This was a non-randomized interventional study in which each patient served as its own control. Patients with advanced glaucoma and demonstrable fi eld defects and Mean defect ≥-12 were included. The intervention employed was Trabeculectomy and IOP and visual acuity pre operative, as well as post op were collected and compared at pre-op, post-op day 1, one week, one month, 6 months. Data was analyzed using SPSS version 20. Results: Thirteen (13) eyes from ten (10) patients with advanced glaucoma were involved in the study. Mean age of study population was 53±19.62 years. Mean of mean defect was-19.05±5.23dB while mean of vertical cup disc ratio (VCDR) was 0.88±0.04. Mean of Pre-op Visual acuity (log MAR) was 0.46 and dropped to 0.72 fi rst day post-op but improved over 6 months to 0.42. The mean of IOP pre-op was 24.15mmHg and dropped to 11.23mmHg (58.24%) over 6 months (p=0.001). Conclusion: Trabeculectomy still remains the gold standard surgical treatment for glaucoma. In our study it resulted in a 58.24% drop in IOP over 6 months with mean visual acuity maintained at pre-op levels after 6 months follow up. It therefore is effective and safe surgical intervention in advanced glaucoma.

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Section: Discussionmentioning

confidence: 99%

Outcome of Trabeculectomy in Advanced Glaucoma in a tertiary hospital in Rivers State, Nigeria

Awoyesuku¹,

Fiebai²

2018

Int J Clin Exp Ophthalmol

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“…More so, the surgeon may have to add a suture if the bleb is filtering too much or use a laser to cut a suture if the bleb is filtering too slowly (Jones, Clarke, & Khaw, 2005;Razeghinejad, & Spaeth, 2011;Leung, & Tham, 2013). Unlike most eye laser treatments which guarantee very quick recovery, it can take several weeks for the eye to recover from a trabeculectomy surgery (Soatiana et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Some of these complications are reversible, such as cataracts, because cataract surgery can be performed at a later date. Findings from the meta-analysis done in Africa regarding the outcomes of trabeculectomy surgery revealed that the success rate varied from 61.8% to 90% (post-operative IOP was between 10-20 mmHg) and that trabeculectomy done with or without application of anti-metabolite like Mitomycin C (MMC) yield good outcome regarding IOP control (Soatiana et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

The Outcomes of Trabeculectomy Surgery among Patients at Makkah Specialist Eye Hospital Bauchi Nigeria

Oluwasegun¹,

Abdalla²,

Madaki³

et al. 2023

IJRP

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Trabeculectomy remains the world's gold standard and the main therapeutic intervention for controlling moderate to advanced glaucoma in Nigeria due to the expensive anti-glaucoma drugs as well as the unavailability of facilities to carry out minimal invasive glaucoma surgery (MIGS). There is still limited knowledge of the outcomes of trabeculectomy surgery in northeastern, Nigeria. To determine the outcomes of trabeculectomy surgery, regarding lowering post-operative Intra Ocular Pressure (IOP), preserved visual acuity (VA) as well as preserved functional vision among glaucoma patients attending Makkah Specialist Eye Hospital Bauchi (MSEHB). A retrospective trabeculectomy surgery data search of operating theatre records was done to collect the outcomes from January 2021 to January 2023. Patients who have undergone trabeculectomy with a minimum follow-up of 6 months were included in the study. The criteria for a good outcome were post-operative IOP of less than 22mmHG or at least 30% reduction from pre-operative levels, and a preserved aided VA. A visiting consultant from the Ophthalmology Department of Federal Teaching Hospital Gombe performed the trabeculectomy surgeries. A total of fifty-two eyes of 50 patients having a postoperative follow-up of six months were included in the study. The mean age at presentation was 54.10(± 13.02) years. On the last day before surgery, the mean Snellen VA was 20/60; 0.37(± 0.36) but became 20/60+3; 0.40(± 0.36) post-operatively, p = 0.01, mean cup-to-disc ratio (CDR) was 0.86(± 0.12) but changed to 0.87(± 0.12) p = 0.79 at six months after surgery. Complete success, qualified success (with postoperative anti-glaucoma eyedrops), and failure of trabeculectomy (even with postoperative anti-glaucoma eyedrops) were 47(90.40%), 4(7.70%), and 1(1.90%), respectively. Based on the IOP, the complete success rate of trabeculectomy was 90.40%. The mean preoperative Snellen VA was improved by about half a line, six months after surgery and there was a significant reduction of IOP from its baseline. These outcomes revolutionize referral/advice of moderate to advanced glaucoma patients for trabeculectomy surgery in our practice as well as assured post-operative reserved vision.

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“…Trabeculectomy with or without application of anti-metabolite appears to be a good way of lowering the IOP in Africa [8].…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Trabeculectomy Surgery among Patients at University of Gondar Tertiary Eye Care and Training Center, Northwest Ethiopia

Anbesse¹,

Ayele²,

Gebresellasie³

2017

J Clin Exp Ophthalmol

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Objective: The aim of this study was to assess outcome of Trabeculectomy surgery in terms of preservation of intraocular pressure, visual acuity and optic nerve head defect among patient undergoing trabeculectomy surgery at university of Gondar tertiary eye care and training center. Methods:Hospital based cross sectional study was conducted from January to February 2017. A total of 69 consecutive 'modern' augmented and non-augmented 'safe-technique' trabeculectomies performed over a 2-year period (2012)(2013)(2014) were assessed. Patients' data from the charts were extracted and analyzed by SPSS version 20. Descriptive statistics were done to summarize the data. Paired samples t-test was performed to compare the correspondent preoperative and postoperative IOP, VA and CDR. P-value<0.05% was considered as statistically significant Results: A total of 69 eyes of 63 patients having post-operative follow up of six months were included in the study. The mean age at the presentation was 59.12 ± 12.64 years. On the last day before surgery, mean snellen VA was 0.28 (± 0.23) and it was changed to 0.24 (± 0.20) p=0.38, mean IOP was 31.87 mmHg (± 10.08) and it was reduced to 18.45 mmHg (± 6.12) p=0.001, mean CDR was 0.84 mm (± 0.13) and was changed to 0.85 mm (± 0.12), p= 0.009 at six months after surgery. Complete success and failure of trabeculectomy was 52 (75.4%) and 8 (11.6%), respectively. Conclusion:Based on IOP, the success rate of trabeculectomy was 75.4%. The mean preoperative VA was dropped by one line at six month after surgery and there was significant reduction of IOP from its base line.

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Outcomes of Trabeculectomy in Africa

Cited by 4 publications

References 53 publications

Outcome of Trabeculectomy in Advanced Glaucoma in a tertiary hospital in Rivers State, Nigeria

Outcome of Trabeculectomy in Advanced Glaucoma in a tertiary hospital in Rivers State, Nigeria

The Outcomes of Trabeculectomy Surgery among Patients at Makkah Specialist Eye Hospital Bauchi Nigeria

The Outcome of Trabeculectomy Surgery among Patients at University of Gondar Tertiary Eye Care and Training Center, Northwest Ethiopia

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