Entrar/Registro  
HOME SPANISH
 
Revista Mexicana de Oftalmología
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Revista Mexicana de Oftalmología >Year 2005, Issue 1


López-Portillo AM, González CJH, Mohamed HJ
Trabeculectomy in young adults with previous ocular surgery.
Rev Mex Oftalmol 2005; 79 (1)

Language: Español
References: 37
Page: 17-24
PDF: 164.55 Kb.


Full text




ABSTRACT

Objective: To know the long-term outcome of the intraocular pressure control after trabeculectomy in young adults with previous ocular surgery.
Methods: A retrospective study in young patients (age 15–45 years) with glaucoma was carried out. All patients had a previous history of intraocular or conjunctival surgery and underwent a trabeculectomy from January 1988 to January 1995. Success was defined as complete, if the postoperative intraocular pressure in the follow-up was 21 mmHg or lower without glaucoma medications and qualified as success if they required medications for its control. Failure was considered in those eyes that required additional antiglaucoma surgery, when ptisis bulbi developed or loose of light perception.
Results: 60 eyes of 54 patients fulfilled the inclusion criteria. Success rates were 46 (76.6%) at 1 year, 40 (66.6%) at 2 years, 34 (56.6%) at 3 years, 29 (48.3%) at 4 years and 23 (38.3%) at 5 years. Nineteen eyes (82.6%) were qualified as complete success and four eyes (17.4%) as success.
Conclusion: The success rate of the trabeculectomy in our study in young patients with antecedents of previous intraocular surgery is compared with the percentages reported in the literature regarding the same surgical procedure in young patients without previous ocular surgery. The high preoperative level of intraocular pressure and the presence of previous ocular surgeries were identified as significant predictors (or borderline) for the surgical failure. The trabeculectomy with mitomicine C in these eyes showed a discreet improvement for the intraocular pressure control from the end of the follow-up.


Key words: Filtering surgery, glaucoma, intraocular pressure, trabeculectomy.


REFERENCIAS

  1. 1. Drance SM, Vargas E. Trabeculectomy and thermosclerostomy: a comparison of two procedures. Can J Ophthalmol 1973; 8:413-415.

  2. 2. Spaeth GL, Joseph NH, Fernandez E. Trabeculectomy: a reevaluation after three years and a comparison with Scheie´s procedure. Trans Am Acad Ophthalmol Otolaryngol 1975; 79:349-361.

  3. 3. Shields MB. Trabeculectomy vs full-thickness filtering operation for control of glaucoma. Ophthalmic Surgy 1980; 11:498-505.

  4. 4. Cairns JE. Trabeculectomy. Preliminary report of a new method. Am J Ophthalmol 1968; 66:673-681.

  5. 5. Watson P. Trabeculectomy. A modified ab externo technique. Ann Ophthalmol 1970; 2:199-205.

  6. 6. Jay JL, Murray SB. Early trabeculectomy versus conventional management in primary open-angle glaucoma. Br J Ophthalmol 1988; 72:881-889.

  7. 7. Midgal C, Hitchings R. The role of early trabeculectomy for open-angle glaucoma. Ophthalmol Clin North Am 1991; 4:853-859.

  8. 8. Fluorouracil Filtering Surgery Study Group. Three-year follow-up of the Fluorouracil Filtering Surgery Study. Am J Ophthalmol 1993; 115:82-92.

  9. 9. Kawase K, Nishimura K, Yamamoto T. Anterior chamber reaction after mitomicyna and 5-fluorouracil trabeculectomy. A comparative study. Ophthalmic Surg 1993; 24:24-27.

  10. 10. Inaba Z. Long-term results of trabeculectomy in the Japanese: an analysis by life-table method. Jpn J Ophthalmol 1982; 26:361-373.

  11. 11. Katz LJ, Spaeth GL. Filtration Surgery. En: Ritch R, Shields MB, Krupin T (eds.). The Glaucomas Vol 1. St Louis, CV Mosby; 1989. Cap. 35.

  12. 12. D´Ermo F, BonomiL, Doro D. A critical analysis of the long-term results of trabeculectomy. Am J Ophthalmol 1979; 88:829-835.

  13. 13. Shaffer RN, Weiss DI. Congenital and Pediatric Glaucomas. St Louis, CV Mosby; 1970. 203.

  14. 14. Mills KB. Trabeculectomy. A retrospective long-term follow-up of 444 cases. Br J Ophthalmol 1981; 65:790-795.

  15. 15. Levene RZ. Glaucoma filtering surgery: factors that determine pressue control. Ophthalmic Surg 1984; 14:475-483.

  16. 16. Simmons RL. Filtering operations. En: Epstein DL (ed.). Chandler and Grant´s Glaucoma, 3a ed. Philadelphia, Lea & Feibiger; 1986. 420.

  17. 17. Schwartz AL, Anderson DR. Trabeculer surgery. Arch Ophthalmol 1974; 92:134-138.

  18. 18. Costa VP, Katz LJ, Spaeth GL, Smith M, Gandham S. Primary trabeculectomy in young adults. Ophthalmology 1993; 100:1071-1076.

  19. 19. Gressel MG, Heuer DK, Parrish RK. Trabeculectomy in young patients. Ophthalmology 1984; 91:1242-1246.

  20. 20. Whiteside-Michel J, Liebmann JM, Ritch R. Initial 5-Fluotouracil trabeculectomy in young patients. Ophthalmology 1992; 99:7-13.

  21. 21. Stürmer J, Broadway DC, Hitchings RA. Young patient trabeculectomy. Assessment of risk factors for failure. Ophthalmology 1993; 100:928-939.

  22. 22. Watson PG, Gierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology 1981; 88:175-196.

  23. 23. Jerndal T, Lundström M. Three hundred and thirty trabecu-lectomy. A long-term study. Acta Ophthalmol 1980; 58:947-956.

  24. 24. Stewart RH, Kimborough RL, Bachh, Albright M. Trabecu-lectomy and modifications of trabeculectomy. Ophthalmic Surg 1979; 10:76-80.

  25. 25. Heuer DK, Parrish RK, Gressel MG. 5-FU and glaucoma filtering surgery. Ophthalmology 1991; 98:1036-1041.

  26. 26. Skuta GL, Parrish RK. Wound healing in glaucoma filtering surgery. Surv Ophthalmol 1987; 32:149-170.

  27. 27. Bellows AR, Johnstone MA. Surgical management of chronic glaucoma in aphakia. Ophthalmology 1983; 90:807-813.

  28. 28. Gross RL, Feldmann RM, Spaeth GL. Surgical therapy od chronic glaucoma in aphakia and pseudophakia. Ophthalmology 1988; 95:1195-1201.

  29. 29. Schoenleber DB, Bellows AR, Hutchingson BT. Failed laser trabeculoplasty requiring surgery in open-angle glaucoma. Ophthalmic Surg 1987; 18:796-799.

  30. 30. Lavin MJ, Wormald RPL, Midgal CS, Hitchings RA. The influence of prior therapy on the success of trabeculectomy. Arch Ophthalmol 1990; 108:1543-1548.

  31. 31. Chen CW. Enhanced intraocular pressure controlling effectiveness of trabeculectomy by local application of mitomicyn C. Trans Asia Pacif Acad Ophthal 1983; 91:172-177.

  32. 32. Kitazawa Y, Kawase W, Matushita H, Minobe M. Trabecu-lectomy with mitomicyn: a comparative study with fluorouracil. Arch Ophthalmol 1991; 109:1693-1698.

  33. 33. Katz GJ, Higginbotham EJ, Lichter PR, Skuta GL y cols. Mitomicyn C versus 5-fluorouracil in high risk glaucoma filtering surgery. Ophthalmology 1995; 102:1263-1269.

  34. 34. Lamping KA, Belkin JK. 5-fluorouracil and mitomicyn C in pseudophakic patients. Ophthalmology 1995; 102:70-75.

  35. 35. Wilson RP, Steinmann WC. Use of trabeculectomy with postoperative 5-FU in pateints requiring extremely low intraocular pressure levels to limit further glaucoma preogression. Ophthalmology 1991; 98:1047-1052.

  36. 36. Kupin-Juzych MS, Shin DH, Khatana AK, Olivier MMG. Adjunctive mitomicyn C in primary trabeculectomy in phakic eyes. Am J Ophthalmol 1995; 119:30-39.

  37. 37. Broadway D, Grierson I, Hitchings R. Racial differences in the results of glaucoma filtration surgery: are racial differences in the conjunctival cell profile important? Br J Ophthalmol 1994; 78: 466-475.






>Journals >Revista Mexicana de Oftalmología >Year 2005, Issue 1
 

· Journal Index 
· Links 






       
Copyright 2019