Merits of trabeculectomy in advanced and end stage glaucoma

  • Rayees Ahmad Sofi Eye surgeon, government medical college, srinagar
  • Shahnawaz Shafi government medical college, srinagar
  • Waseem Qureshi registrar academics, govt medical college srinagar
  • Sehrish Ashraf
Keywords: Glaucoma, intraocular pressure, trabeculectomy

Abstract

Objectives: The aim of the study was to evaluate intraocular pressure (IOP) control, potential benefits and associated complications in advanced cases of glaucoma (visual acuity of less than 6/60) after trabeculectomy. Though many studies of trabeculectomy in glaucoma patients have been done, but very few in such advanced cases.

Methods: The study was done on 60 cases of advanced primary open angle glaucoma. Trabeculectomy was done and IOP control was assessed. Preoperative workup included a detailed history, slit lamp biomicroscopy, Goldmann applanation tonometry, gonioscopy using Goldmann 2 mirror lens and detailed fundus examination with the 78D lens. All the patients were to undergo optical coherence tomography and Humphrey automated perimetry.

Results: Out of 60 patients with primary open angle glaucoma, 48 were males and 12 were females with a ratio of 4:1. Of all the sixty cases, thirty-six had a visual acuity of 20/200, sixteen had a visual acuity of hand movements (HM), and eight patients had a visual acuity of perception of light (PL). The mean preoperative IOP was measured as 37.01mmHg with SD± 8.82. The mean postoperative IOP was found 17.92mmHg with SD± 3.17. There was a mean drop of 19mmHg of IOP post operatively. The P Value was highly significant (p<0.000).

Conclusion: Trabeculectomy is a successful method of controlling intraocular pressure in patients with advanced glaucoma. Trabeculectomy is the method of reducing Intraocular pressure in medically uncontrolled patients.  A pain-free eye was associated with better quality of life in patients. A successful trabeculectomy helps to preserve the residual vision in such patients. 

Author Biography

Rayees Ahmad Sofi, Eye surgeon, government medical college, srinagar
senior resident, department of ophthalmology, gmc, srinagar
Published
2018-02-01
How to Cite
Sofi, R., Shafi, S., Qureshi, W., & Ashraf, S. (2018). Merits of trabeculectomy in advanced and end stage glaucoma. International Journal of Health Sciences, 12(2). Retrieved from https://ijhs.org.sa/index.php/journal/article/view/2336
Section
Original Paper