SUMMARY BACKGROUND Trabeculectomy is the commonest surgical procedure for glaucoma. The outcome of trabeculectomy in the treatment of all types of glaucoma over a 4-year period in a Nigerian population was reviewed. OBJECTIVE To determine the surgical rate and effectiveness of trabeculectomy in lowering of intra ocular pressure (IOP) and preservation of visual acuity. METHODS Retrospective ...

CONTEXT Risk factors for failure of trabeculectomy may have a cumulative effect on the outcome. AIMS To study the effect of preoperative ocular risk factors on the surgical outcome of trabeculectomy augmented with 2 commonly used doses of Mitomycin C. SETTINGS AND DESIGN In a prospective cohort study, cases were recruited over an 18 month period. 92 eyes of 83 patients with one to three kno...

Background: To assess the potential use of amniotic membrane graft (AMG) for augmenting trabeculectomy. Methods: Sixteen eyes of 8 rabbits were randomly divided into a study group that underwent trabeculectomy with AMG, and a control group that underwent trabeculectomy alone. Result: The mean duration of blebs was greater in the study group as compared to the controls (p=0.009). On day 1, the I...

Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Rega...

Background/Aims: To describe the long term results of cases of cataract extraction combined with either Molteno implant insertion or trabeculectomy for primary open angle glaucoma. Methods: This prospective case series followed cases which had cataract extraction and Molteno implant insertion (45 eyes) or trabeculectomy (94 eyes) followed up for a mean of 5.3 years and 3.9 years respectively. R...

We compared early postoperative complications between trabeculectomy and Ex-PRESS implantation. Enrolled patients with 39 primary open-angle or 25 exfoliative glaucoma were randomly assigned to receive trabeculectomy (trabeculectomy group) or Ex-PRESS implantation (Ex-PRESS group). Primary outcomes were early postoperative complications, including postoperative anterior chamber inflammation, fr...

AIMS To assess the pattern of use of antimetabolites in trabeculectomy surgery by all consultant ophthalmologists in the United Kingdom. METHODS A postal questionnaire of 12 questions regarding antimetabolite use in trabeculectomy surgery was sent to all 749 consultant ophthalmologists in the United Kingdom. The consultants were asked to estimate the number of trabeculectomies they performed ...

In order to determine if post-traumatic angle recession is a risk factor for failure of glaucoma filtering surgery independent of age or race, the surgical results of trabeculectomy performed in 35 consecutive patients with angle recession glaucoma were compared with those of 35 matched patients with primary open angle glaucoma. A postoperative intraocular pressure of < or = 21 mm Hg (with or w...

PURPOSE To describe a pilot study that evaluates the efficacy and mechanism of action of a new glaucoma operation, trabeculectomy with internal tube shunt. METHODS Twenty-three patients underwent the new operation in one eye for open angle glaucoma. Under a scleral flap, a deep sclerectomy was performed, resulting in an intrascleral lake. Laterally, on both sides, a small silicone tube was pl...

PURPOSE To evaluate and compare the results and complications of eyes that underwent a phaco-deep sclerectomy (DS) converted into phaco-trabeculectomy due to an intraoperative macroperforation with eyes undergoing uneventful phaco-DS. METHODS The authors reviewed 106 eyes having a planned phaco-DS; 10 of them (9.4%) had to be converted into phaco-trabeculectomy because of a large perforation ...