The outcome of filtration surgery in end-stage glaucoma
Background: To evaluate the outcome of filtration surgery in end-stage glaucoma. Methods: This retrospective study included 20 eyes of 20 patients with different forms of endstage glaucoma in which goniotrephining with scleral flap without intraoperative antimetabolites was done. Intraocular pr...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2012-06-01
|
| Series: | Zdravniški Vestnik |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/925 |
| _version_ | 1819075167015403520 |
|---|---|
| author | Tomaž Gračner Dušica Pahor |
| author_facet | Tomaž Gračner Dušica Pahor |
| author_sort | Tomaž Gračner |
| collection | DOAJ |
| description | Background: To evaluate the outcome of filtration
surgery in end-stage glaucoma.
Methods: This retrospective study included 20
eyes of 20 patients with different forms of endstage
glaucoma in which goniotrephining with
scleral flap without intraoperative antimetabolites
was done. Intraocular pressure, best-corrected
visual acuity, number of antiglaucoma
medications and visual field test results before
and after surgery were evaluated.
Results: The follow-up after glaucoma surgery
was 24 months in all eyes. The mean preoperative
intraocular pressure was 26.9 mmHg (SD 6.7)
and 12.6 mmHg (SD 3.2) at the end of follow-up;
postoperatively it was lower at all follow-up visits
(p < 0.0001). The mean preoperative best-corrected
visual acuity was 0.44 (SD 0.3), 3 months
postoperatively 0.42 (SD 0.3) (p = 0.253) and 0.28
(SD 0.2) at the end of follow-up (p = 0.023). The
mean number of antiglaucoma medications was
3.0 (SD 0.4) preoperatively, decreasing postoperatively
to a mean of 0.3 (SD 0.9) at the end of
follow-up (p < 0.0001). Preoperatively, the mean
value of the mean deviation in 11 eyes on automated
perimetry was -27.49 dB (SD 2.1), and
-27.73 dB (SD 1.6) postoperatively (p=0.289).
Preoperatively, the mean visual field island in 9
eyes on Goldmann perimetry was 19.4° (SD 9.5),
and 19.1° (SD 9.9) postoperatively (p=0.347).
Conclusion: Filtration surgery in end-stage
glaucoma followed for 24 months resulted in a
significant and stable reduction of intraocular
pressure and vision was preserved with no occurrences
of »wipe-out« phenomenon. |
| first_indexed | 2024-12-21T18:21:06Z |
| format | Article |
| id | doaj.art-95f46adf33ce48b686a9a9eccd81b807 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-21T18:21:06Z |
| publishDate | 2012-06-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-95f46adf33ce48b686a9a9eccd81b8072022-12-21T18:54:33ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242012-06-01820803The outcome of filtration surgery in end-stage glaucomaTomaž GračnerDušica PahorBackground: To evaluate the outcome of filtration surgery in end-stage glaucoma. Methods: This retrospective study included 20 eyes of 20 patients with different forms of endstage glaucoma in which goniotrephining with scleral flap without intraoperative antimetabolites was done. Intraocular pressure, best-corrected visual acuity, number of antiglaucoma medications and visual field test results before and after surgery were evaluated. Results: The follow-up after glaucoma surgery was 24 months in all eyes. The mean preoperative intraocular pressure was 26.9 mmHg (SD 6.7) and 12.6 mmHg (SD 3.2) at the end of follow-up; postoperatively it was lower at all follow-up visits (p < 0.0001). The mean preoperative best-corrected visual acuity was 0.44 (SD 0.3), 3 months postoperatively 0.42 (SD 0.3) (p = 0.253) and 0.28 (SD 0.2) at the end of follow-up (p = 0.023). The mean number of antiglaucoma medications was 3.0 (SD 0.4) preoperatively, decreasing postoperatively to a mean of 0.3 (SD 0.9) at the end of follow-up (p < 0.0001). Preoperatively, the mean value of the mean deviation in 11 eyes on automated perimetry was -27.49 dB (SD 2.1), and -27.73 dB (SD 1.6) postoperatively (p=0.289). Preoperatively, the mean visual field island in 9 eyes on Goldmann perimetry was 19.4° (SD 9.5), and 19.1° (SD 9.9) postoperatively (p=0.347). Conclusion: Filtration surgery in end-stage glaucoma followed for 24 months resulted in a significant and stable reduction of intraocular pressure and vision was preserved with no occurrences of »wipe-out« phenomenon.http://vestnik.szd.si/index.php/ZdravVest/article/view/925 |
| spellingShingle | Tomaž Gračner Dušica Pahor The outcome of filtration surgery in end-stage glaucoma Zdravniški Vestnik |
| title | The outcome of filtration surgery in end-stage glaucoma |
| title_full | The outcome of filtration surgery in end-stage glaucoma |
| title_fullStr | The outcome of filtration surgery in end-stage glaucoma |
| title_full_unstemmed | The outcome of filtration surgery in end-stage glaucoma |
| title_short | The outcome of filtration surgery in end-stage glaucoma |
| title_sort | outcome of filtration surgery in end stage glaucoma |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/925 |
| work_keys_str_mv | AT tomazgracner theoutcomeoffiltrationsurgeryinendstageglaucoma AT dusicapahor theoutcomeoffiltrationsurgeryinendstageglaucoma AT tomazgracner outcomeoffiltrationsurgeryinendstageglaucoma AT dusicapahor outcomeoffiltrationsurgeryinendstageglaucoma |