Sickerkissenformen und Druckregulierung nach Trabekulektomie

A randomized, prospective study on 68 eyes of 54 patients with progressive, uncontrolled, noninflammatory open-angle glaucoma showed that eyes that received topical prednisolone 1% had a lower intraocular pressure (IOP) 18 months following trabeculectomy than the eyes that received no prednisolone. The addition of systemic prednisone had no definite further effect. In the present study, we reevealuated 58 eyes of 45 of these patients 5 years after the time of initial surgery. The number of cases lost to follow up was similar in the steroid and the nonsteroid-treated groups. Mean IOP of the steroid-treated patients was 14.5 ± 1.8 mm Hg, and of the nonsteroid-treated patients, 19.3 ± 2.1 mm Hg. Visual field, optic disc, and IOP were stabilized in 94% of the steroid-treated cases and in 43% of the nonsteroid-treated cases. Thus, postoperative steroids significantly increased the success rate of trabeculectomy in these eyes, and the eyes with lower IOPs had a significantly better prognosis than those with higher IOPs.

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Filtering Blebs: Follow Up of Trabeculectomy

Vesti¹

1993

Ophthalmic Surg Lasers Imaging

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We retrospectively reviewed the results of 88 primary trabeculectomies with 1- to 5-year (mean, 3-year) follow up in an attempt to correlate the biomicroscopic appearance and function of the filtering bleb with intraocular pressure (IOP), and to detect possible risk factors for bleb failure. IOP in 74% of the eyes was « 21 mm Hg without medication. Three eyes needed retrabeculectomy. A diffuse filtering bleb was present in 36 (42%), a flap-sized bleb in 42 (50%), and no bleb in 7 (8%). Among these three groups, those with diffuse blebs had the lowest IOP, the highest proportion of eyes without medication, and the highest tonographic C value. Early postoperative hypotony tended to occur more often in the eyes with flap-sized blebs and in those in which the bleb failed. Blebs tended to fail more often in the younger patients.

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Sickerkissenformen und Druckregulierung nach Trabekulektomie

Cited by 3 publications

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Intraocular pressure following cataract surgery in normal and glaucoma eyes

Intraocular pressure following cataract surgery in normal and glaucoma eyes

The Effects of Postoperative Corticosteroids on Trabeculectomy and the Clinical Course of Glaucoma: Five-Year Follow-Up Study

Filtering Blebs: Follow Up of Trabeculectomy

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