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Trabeculectomies
Author(s) -
Törnqvist Göran,
Drolsum Liv Kari
Publication year - 1991
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1991.tb02021.x
Subject(s) - trabeculectomy , medicine , glaucoma , ophthalmology , complication , open angle glaucoma , visual acuity , medical therapy , surgery
This study comprises 277 primary open‐angle glaucomas in 239 patients followed up to 10 years after trabeculectomy. Sixty‐four per cent had capsular glaucoma and 36% simple glaucoma. The number of cases showing no progression of glaucoma damage and not needing additional medical therapy decreased slowly with time. Seventy‐five per cent showed no progress after one year, 70% after 2 years, 57% after 5 years and 42% after 10 years. There was a significant trend that fewer capsular glaucomas progressed than simple glaucomas. High pressure levels before trabeculectomy did not indicate a bad prognosis. Cases with advanced or moderate glaucomatous damage seemed to have the same prognosis. Cataract was a common complication; a 50% reduction of preoperative visual acuity was found in 37% of eyes after 5 years of follow‐up.