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Long‐term post trabeculectomy intraocular pressures
Author(s) -
Akafo Stephen K.,
Goulstine David B.,
Rosenthal A. Ralph
Publication year - 1992
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.1755-3768.1992.tb08570.x
Subject(s) - trabeculectomy , medicine , intraocular pressure , glaucoma , ophthalmology , blinding , open angle glaucoma , visual field , surgery , randomized controlled trial
. 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.

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