[Follow-up of macrotrabeculectomy in glaucoma].
OBJECTIVE
In this study we report the preliminary results of macrotrabeculectomy in our hospital.


METHODS
Fifty-nine eyes of 41 patients with open-angle glaucoma underwent macrotrabeculectomy from Sept. 1994 through Sept. 1995 and were retrospectively analysed. Intraocular pressure control was defined as a decrease of postoperative IOP lower than 21 mm Hg or a decrease of at least 20% of initial IOP if this was lower than 21 mm Hg. Disc/cup ratio control was assumed when the progression was under 0.2. Disease control was defined when IOP, disc/cup ratio and visual field were controlled.


RESULTS
IOP control was obtained in 93.22% of patients at 2 years and in 91.19% at 3 and 4 years. Disease control was achieved in 88.14% at 2 years and 84.3% at 3 and 4 years (Kapplan-Meier survival analysis).


CONCLUSIONS
Macrotrabeculectomy is a safe and effective technique to control IOP and glaucomatous disease.
Lázaro García
C
C
Hospital Clínico San Carlos, Universidad Complutense de Madrid, Spain. lazaroft@teleline.es
Castillo Gómez
A
A
García Feijoó
J
J
Macías Benítez
J M
JM
García Sánchez
J
J
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014130:Trabeculectomy / Q000379:methods*