Trabeculectomy with an active postoperative regimen: results and resource utilization
2009 (English)In: Acta Ophthalmplogica, ISSN 0001-639X, Vol. 87, no 5, 524-528 p.Article in journal (Refereed) Published
PURPOSE: To evaluate intraocular pressure (IOP) and resource utilization after trabeculectomy, using an active postoperative regimen, in a Swedish population. METHODS: A retrospective analysis was performed on the patient charts of all patients who underwent trabeculectomy in a Swedish university hospital during 1 year (November 2000-December 2001). Trabeculectomy was performed in 34 eyes and trabeculectomy in combination with phacoemulsification in 10 eyes. Intraocular pressure, visual acuity, complications and numbers of injections of 5-fluorouracil, suture removal, needling procedures and visits to ophthalmologists were recorded for 2 years. RESULTS: Mean IOP before surgery was 30.4 mmHg (standard deviation [SD] 9.5) in eyes with capsular glaucoma and 28.7 mmHg (SD 9.3) in eyes with primary open-angle glaucoma. Mean IOP after 2 years was 15.3 mmHg (SD 3.9) in all eyes. Intraocular pressure of < 18 mmHg was achieved in 65% of the eyes after 2 years, as was IOP < or = 13 mmHg in 37%. Flap or suture manipulation was performed in 41 of 44 eyes. Needling procedures were carried out a mean of 2.3 times in 31 eyes. The mean number of visits to an ophthalmologist was 14.1 during the first postoperative year and 4.4 during the second. CONCLUSIONS: The results were encouraging, with few complications and modest resource utilization.
Place, publisher, year, edition, pages
2009. Vol. 87, no 5, 524-528 p.
pseudoexfoliation, glaucoma, trabeculectomy
Research subject Ophtalmology
IdentifiersURN: urn:nbn:se:uu:diva-104717DOI: 10.1111/j1755-3768.2008.01249.xISI: 000268214200008PubMedID: 18631334OAI: oai:DiVA.org:uu-104717DiVA: diva2:220088