The National Survey of Trabeculectomy. II. Variations in operative technique and outcome

Edmunds, Beth; Thompson, John R.; Salmon, John F.; Wormald, Richard

doi:10.1038/eye.2001.152

Cited by 102 publications

(87 citation statements)

References 46 publications

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“…A national survey of the current practice of UK Ophthalmologists provided data for the first time on how individual surgeons in the UK differ in their surgical technique and subsequent management. [25][26][27] Despite a wide variation in surgical technique, the success rate in this group of mainly unaugmented trabeculectomies was an impressive 84% at 1 year. The complication rate, however, was between 42 and 47% and more emphasis is now being placed on how best to modify Cairn's technique further to reduce this rate to acceptable levels, resulting a 'tailor-made' approach to patients, particularly with regard to augmentation with antimetabolite.…”

Section: Introductionmentioning

confidence: 84%

A review of trabeculectomy in East Asian people—the influence of race

Husain

Clarke

Seah

et al. 2004

Eye

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Glaucoma is the leading cause of irreversible blindness worldwide. East Asians account for approximately half of all glaucoma sufferers. It is likely that trabeculectomy will be needed for many of these people as the intraocular pressure is to be maintained at a satisfactorily low level. The eyes of East Asian people differ in some aspects from those of other races. This review describes the natural history of the eye after trabeculectomy in East Asians.

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Section: Introductionmentioning

confidence: 84%

A review of trabeculectomy in East Asian people—the influence of race

Husain

Clarke

Seah

et al. 2004

Eye

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“…2 Main outcome measure of success was defined as final IOP less than two-thirds the preoperative IOP at 1 year following trabeculectomy. Secondary outcome measures of success were final IOP o21 mmHg and final IOP o16 mmHg.…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3] In total, 382 consultants (22.6% of whom had a specialist interest in glaucoma) recruited four consecutive patients undergoing trabeculectomy. A wide variation in the operative technique was noted.…”

Section: Introductionmentioning

confidence: 99%

South-East Scotland trabeculectomy survey

Cackett

Vallance

Cobb

et al. 2005

Eye

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“…The UK National Survey of Trabeculectomy 14 did not find a relationship between the number performed in the previous year and outcome of surgery. This did however contain more heterogeneous data than ours and looked at success at 1 year.…”

Section: Discussionmentioning

confidence: 86%

The relation of volume and outcome in trabeculectomy

Hildreth

Phelan

et al. 2006

Eye

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Background/aims Higher case volume has been associated with improved outcomes for a number of procedures. This study was designed to investigate whether this relationship existed for trabeculectomy. Methods The study was retrospective and conducted at an ophthalmic unit in the UK. All patients who had unenhanced trabeculectomy between 1996 and 2000 were identified. From their notes, the surgeon who performed the trabeculectomy was ascertained as were any unplanned interventions (eg conjunctival suturing, anterior chamber reformation, repeated attendances) within the first month of surgery. Results Two hundred and eleven trabeculectomies were performed over the study period. Twenty nine had unplanned interventions within the first postoperative month. Analysis of the data indicated that surgeons who performed less than eight operations per year had more complications than those who performed more than 10 per annum. This difference was only significant (v 2 ¼ 4.0, P ¼ 0.045) when the data were aggregated. When separated per year, although not significant, the complication rate of the lower volume group was always higher than the group performing more than 10 per year. Conclusions The results suggest that trabeculectomy can be added to the list of procedures in which larger case volume is associated with fewer early complications and potentially a better outcome. The findings, if replicated, tend to strengthen the argument for subspecialisation in glaucoma with its implications for training and revalidation.

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The National Survey of Trabeculectomy. II. Variations in operative technique and outcome

Abstract: Trabeculectomy. II. Variations in operative technique and outcome Abstract

Cited by 102 publications

References 46 publications

A review of trabeculectomy in East Asian people—the influence of race

A review of trabeculectomy in East Asian people—the influence of race

South-East Scotland trabeculectomy survey

The relation of volume and outcome in trabeculectomy

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