TRABECULECTOMY IN GLAUCOMA SURGERY
TRABECULECTOMY IN GLAUCOMA SURGERY
Author(s): Juraj Sekáč, Marta STANISLAVOVÁ, Ivajlo Popov, Jan Rybar, Branislav HUCKO, Stanislav DURIS, Peter PAVLASEK, Sylvia FERKOVÁSubject(s): Health and medicine and law
Published by: SAMOSATO, s. r. o., Bratislava, Slovensko - MAUREA, s. r. o., Plzeň, Česká republika
Keywords: trabeculectomy; primary and secondary glaucoma; glaucoma treatment; glaucoma surgery; antimetabolites;
Summary/Abstract: Aim: Retrospective analysis of surgical outcomes in glaucoma patients during 5 years, focusing on importance of the trabeculectomy in the surgical treatment of glaucoma, taking into account the latest European glaucoma Society recommendations. Materials and Methods: The sample consists of 304 subjects who underwent 368 surgeries on 368 eyes in a time interval of 5 years. An exploratory-type retrospective study was used. The group includes patients with the main diagnosis of primary or secondary glaucoma, coded according to the international classification of diseases H40.1-H40.9, H42.0 and H42.8 hospitalized in a time interval of 5 years at the Department of Ophthalmology, Faculty of Medicine, Comenius University in Bratislava. Inclusion criteria were glaucoma surgery with decompensated values of intraocular pressure despite maximum antiglaucoma treatment and patients who have signs of progression in ophthalmoscopy, perimetry and other imaging modalities. Results: In the analyzed sample of 368 eyes, trabeculectomy with basal iridectomy was performed in 188 eyes (51.1%). The remaining 180 eyes (48.9%) underwent other surgeries. Simple trabeculectomy as the only procedure was performed in 152 eyes (80.9%), antimetabolites were used in 25 eyes (13.3%), in which mitomycin C was used in 13 (6.9%) and 5-fluorouracyl in 12 eyes (6.4%). As a combined operation, trabeculectomy and basal iridectomy with phacofragmentation of the lens and implantation of an artificial intraocular lens was performed in 11 eyes (5.8%). The initial operation of trabeculectomy with basal iridectomy was performed in 143 eyes (94.1%). Reoperation was required in 9 eyes (5.9%). Conclusion: By analyzing the data of our patients, we confirmed the recommendations of the European Glaucoma Society, where trabeculectomy is the most commonly used surgery in the treatment of primary forms of glaucoma. In secondary forms of glaucoma, the position of trabeculectomy is less clear.
Journal: International Journal of Health, New Technologies and Social Work
- Issue Year: 15/2020
- Issue No: 5
- Page Range: 216-223
- Page Count: 8
- Language: English