The value of perioperative intraocular pressure measurement in trabeculectomy as a predictor of the early post-operative course.
OBJECTIVE
The purpose of the study was to assess the value of perioperative intraocular pressure (IOP) measurement in trabeculectomy as a predictor of drainage and related complications in the early post-operative period.


METHODS
A prospective study was undertaken of 42 eyes (39 patients) followed up after trabeculectomy for the first post-operative month.


RESULTS
Analysis of the change in IOP in the first post-operative month showed that at 1 month the pressure in all cases tended to similar values irrespective of the mean perioperative IOP. Early shallowing of the anterior chamber was, however, associated with a significantly lower perioperative IOP, although there was no significant difference in IOP at 1 month in these cases.


CONCLUSIONS
The perioperative IOP appears to be effective in predicting anterior chamber shallowing in the first post-operative month with good sensitivity and specificity, but has little value as a predictor of the IOP at 1 month.
Suharwardy
J
J
University Department of Ophthalmology, Manchester Royal Eye Hospital, UK.
Baranyovits
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007430:Intraoperative Care / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D014130:Trabeculectomy; D016896:Treatment Outcome