Trabeculectomy: complications and success in IOP control.
A retrospective study of the complications of trabeculectomy performed in the Department of Ophthalmology, Medical Faculty, Addis Ababa University between 1987-1990 is presented. Trabeculectomy was performed in 470 eyes of 354 patients during the four years period. The types of glaucomas were primary open angle glaucoma in 215 eyes (46%), primary angle closure glaucoma in 105 eyes (22%), secondary glaucoma in 117 eyes (25%) and congenital glaucoma in 33 eyes (7%). The post operative complications were shallow anterior chamber (29%), cataract (24%), hyphema (24%), uveitis (17%), choroidal detachment (4%), and conjunctival defect (3%). The post operative results show that intraocular pressure of 355 eyes (76%) were controlled with trabeculectomy alone, 17 eyes (4%) were controlled with trabeculectomy and additional medical treatment and in 98 eyes (21%), trabeculectomy with medical treatment failed to control the intraocular pressure. The overall success rate in controlling IOP was 79% and this result is similar to and comparable with results in the literature. The large exclusion (277 patients) is largely due to the fact that records could not be found.
Alemu
B
B
Department of Ophthalmology, Medical Faculty, Addis Ababa University.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005901:Glaucoma / Q000145:classification / Q000601:surgery*; D006801:Humans; D006988:Hyphema / Q000209:etiology; D007223:Infant; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014130:Trabeculectomy / Q000009:adverse effects / Q000592:standards*; D016896:Treatment Outcome