Long-term post trabeculectomy intraocular pressures

Acta Ophthalmol (Copenh). 1992 Jun;70(3):312-6. doi: 10.1111/j.1755-3768.1992.tb08570.x.

Abstract

Eighty-one eyes which had had trabeculectomy with a mean follow-up period of 9.2 years (range 7 to 10 years) were studied retrospectively for their subsequent pattern of intraocular pressure. Of 43 chronic open-angle glaucoma eyes, 29 (67%) had their pressures maintained below 21 mmHg by trabeculectomy alone over a 7-10-year period. On the other hand, 25 of 38 (65%) eyes with other types of glaucoma required an average of 1.5 different antiglaucoma medications post-op for the control of their intraocular pressures. Fifteen of 69 (22%) phakic eyes required cataract extraction at a mean of 5.1 years post-op. Two of 43 (5%) chronic open-angle glaucoma eyes suffered blinding complications attributable to the procedure. Seventeen percent: of eyes gained visual field at a mean of 7% of the pre-op field per year following trabeculectomy. Fifty percent lost field at a mean rate of 2.3% per year.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cataract Extraction
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Glaucoma / physiopathology*
  • Glaucoma / surgery
  • Glaucoma, Angle-Closure / physiopathology
  • Glaucoma, Angle-Closure / surgery
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery
  • Humans
  • Intraocular Pressure*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Retrospective Studies
  • Trabeculectomy*
  • Visual Fields