medigraphic.com
ISSN 1684-1824 (Electronic)

2014, Number 4

<< Back Next >>

Rev Méd Electrón 2014; 36 (4)

Variation of the intraocular post trabeculectomy pressure

López LN, Darias RG, González DRI, Cabrera AMA, Herrera HN, Ortega RB

Language: Spanish
References: 28
Page: 408-416
PDF size: 73.76 Kb.


ABSTRACT

Background: Intraocular pressure is, up to the moment, the unique parameter on which we could influence to stop the progress of the glaucoma optical neuropathy. Trabeculectomy is the surgical technique of election for treating most of glaucoma.
Aim: to describe intraocular pressure variation during the first three months after trabeculectomy.
Methods: We carried out a prospective longitudinal research; the universe was formed by 22 patients (27 eyes) trabeculectomized in the Clinico-surgical University Hospital Faustino Perez in the period November 2012-July 2013.
Results: Most of eyes had some intraocular pressure increase during the first month after surgery. The same behavior pattern according to pressure was observed in eyes in which anti-metabolites were used and in those in which antimetabolites were not used. Eyes with acute glaucoma caused by angular primary closure showed higher intraocular pressure peaks. In spite of the frequency of surgical failure pre-operatory risks we achieved the intra-ocular pressure reduction three months after surgery.
Conclusions: The results of this study showed that there are intraocular pressure variations during the post-surgical period of trabeculectomized patients. This technique reduces pre-operatory pressure and the anti-metabolites usage decreases the surgical failure risk.


REFERENCES

  1. Herrera Hernández N, Darias Rendón G, O'Reilly D. Valor del pesquisaje oftalmológico en la prevención del glaucoma. Rev Méd Electrón [Internet]. 2007[citado 20 Ago 2013];29(4). Disponible: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/413

  2. Díaz Alfonso L, Suárez Rodríguez BN, Curbelo Gómez MJ, Soto Serrano Y, Milanés Armengol AR. Caracterización epidemiológica del glaucoma primario de ángulo abierto. Medisur [Internet]. 2010 [citado 20 Ago 2013];8(5). Disponible en: http://medisur.sld.cu/index.php/medisur/issue/view/45

  3. Alemán Suárez I, Armengol Oramas Y, Suárez Herrera V, Morejón Sanz A. Evolución y resultados del glaucoma por cierre angular primario. Rev Med Electrón [Internet]. 2011 [citado 20 Ago 2013];33(4). Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202011/vol4%202011/te ma02.htm

  4. Paimberg P. How clínical trial results are changing our thinking about target pressures. Curr Opin Ophthalmol. 2002; 13(2):85-8.Citado en PubMed; PMID: 11880720.

  5. Piloto I, Fernández L, Miqueli M. Glaucoma. En: Río M. Oftalmología. Criterios y tendencias actuales[Internet]. La Habana: Editorial Ciencias Médicas; 2009. p. 352- 62 [citado 20 ago 2013]. Disponible en:http://www.bvs.sld.cu/libros/oftalmologia_criterios/cap28.pdf

  6. Musch DC, Gillespie BW, Niziol LM, Lichter PR, Varma R; CIGTS Study Group. Intraocular Pressure Control and Long-term Visual Field Loss in the Collaborative Initial Glaucoma Treatment Study. Ophthalmology. 2011;118(9):1766-73. Citado en PubMed; PMID: 21600658.

  7. Ambrós Gómez I, Piloto Díaz I, Miqueli Rodríguez M, González Silverio I, Triana Casado I, Padilla González C. Relación entre amplitud del pulso ocular y presión intraocular: efectividad del tratamiento hipotensor. Rev Cubana Oftalmol [Internet]. 2010 [citado 20 Ago 2013];23(1). Disponible en: http://bvs.sld.cu/revistas/oft/vol23_1_10/oft11106.htm

  8. Fernández S, Pardiñas N, Laliena J, Pablo L, Díaz S, Pérez S, Honrubia F. Resultados tensionales tras trabeculectomía a largo plazo. Estudio comparativo entre tipos de glaucoma y tratamiento médico previo. Arch Soc Esp Oftalmol [Internet]. 2009 [citado 20 Ago 2013];84(7). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365- 66912009000700005

  9. Herrera Hernández N. Terapéutica en el glaucoma crónico de ángulo abierto. Rev Med Electrón [Internet]. 2006 Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202006/vol4%202006/te ma02.htm

  10. Burr J, Azuara-Blanco A, Avenell A. Intervenciones médicas versus quirúrgicas para el glaucoma de ángulo abierto. Biblioteca Cochrane Plus. 2008;2.

  11. Tarongoy P, Ho CL, Walton DS. Angle-closure glaucoma: the role of the lens in the pathogenesis, prevention, and treatment. Surv Ophthalmol. 2009;54(2):211- 25. Citado en PubMed; PMID: 19298900.

  12. Sampaolesi JR. Cierre angular y glaucoma por cierre angular. Diagnósticos diferenciales y conductas. Argentina: Universidad de Ciencias Empresariales y Sociales; 2008.

  13. Khaimi MA. Canaloplasty using iTrack 250 Microcatheter with Suture Tensioning on Schlemm’s Canal. Middle East African J Ophthalmol. 2009;16(3). Citado en PubMed; PMID: 20142977.

  14. Infante Ramírez Y, Cabeza Martínez E, Pina García M, Guelmes Rodríguez N. Resultados de la trabeculectomía en pacientes glaucomatosos. Sancti Spíritus. 2009. Gaceta Méd Espirituana [Internet]. 2011 [citado 20 Ago 2013];13(1). Disponible: en:http://www.bvs.sld.cu/revistas/gme/pub/vol.13.%281%29_01/p1.html

  15. Wilkins M, Indar A, Wormald R. Intraoperative Mitomycin C for glaucoma surgery. Cochrane Database of Systematic Reviews. 2010[citado 20 Ago 2013]; (49).Disponible en: http://www.bibliotecacochrane.com/pdf/CD002897.pdf

  16. Feyi-Waboso A, Ejere HOD. Needling for encapsulated trabeculectomy filtering blebs. Cochrane Database of Systematic Reviews. 2012(8). Citado en PubMed; PMID: 22895936.

  17. Kirwan JF, Rennie C, Evans JR. Beta radiation for glaucoma surgery. Cochrane Database of Systematic Reviews. 2012. Citado en PubMed; PMID: 22696336.

  18. Akhtar F. Ocular digital massage for the management of post-trabeculectomy underfiltering blebs. J Coll Physicians Surg Pak. 2011;21(11). Citado en PubMed; PMID: 22078347.

  19. Gedde SJ, Schiffman JC, Feuer WJ, Herndon LW, Brandt JD, Budenz DL, et al. Three-year follow-up of the tube versus trabeculectomy study. Am J Ophthalmol. 2009;148(5). Citado en PubMed; PMID: 19674729.

  20. Baser EF, Seymenoglu G, Mayali H. Trabeculectomy for advanced glaucoma. Int Ophthalmol. 2011;31(6). Citado en PubMed; PMID: 22200860.

  21. Figus M, Lazzeri S, Nardi M, Bartolomei MP, Ferreras A, Fogagnolo P. Shortterm changes in the optic nerve head and visual field after trabeculectomy. Eye (Lond). 2011;25(8). Citado en PubMed; PMID: 21617695.

  22. Gale J, Wells AP. Medium-term outcomes of safe surgery system trabeculectomies. Br J Ophthalmol. 2008;92. Citado en PubMed; PMID: 18617544.

  23. Heng Hah M, Norliza Raja Omar R, Jalaluddin J, Fadzillah Abd Jalil N, Selvathurai A. Outcome of trabeculectomy in hospital Melaka, Malaysia. Int J Ophthalmol. 2012;5(3). Citado en PubMed; PMID: 22773993.

  24. Adegbehingbe BO, Majemgbasan T. A Review of Trabeculectomies at a Nigerian Teaching Hospital. Ghana Med J. 2007;41(4):176-80. Citado en PubMed; PMID: 18464899.

  25. Wong TT, Khaw PT, Aung T, Foster PJ, Htoon HM, Oen FT, et al. The singapore 5-Fluorouracil trabeculectomy study: effects on intraocular pressure control and disease progression at 3 years. Ophthalmology. 2009 Feb;116(2):175-84. Citado en PubMed; PMID: 19187822.

  26. Stead RE, King AJ. Outcome of trabeculectomy with mitomycin C in patients with advanced glaucoma. Br J Ophthalmol. 2011 Jul;95(7):960-5. Citado en PubMed; PMID: 21169269.

  27. Vijaya L, Manish P, Ronnie G, Shantha B. Management of complications in glaucoma surgery. Indian J Ophthalmol. 2011 Jan;59 Suppl:S131-40. Citado en PubMed; PMID: 21150025.

  28. Takihara Y, Inatani M, Seto T, Iwao K, Iwao M, Inoue T, et al. Trabeculectomy with mitomycin for open-angle glaucoma in phakic vs pseudophakic eyes after phacoemulsification. Arch Ophthalmol. 2011 Feb;129(2):152-7. Citado en PubMed; PMID: 21320958.




2020     |     www.medigraphic.com