Trabeculectomy in Congenital Glaucoma; Experience in Helpers Eye Hospital Quetta

Autor:	Aimal Khan, Rabia khawar Chaudhry, Mahtab Mengal, Manzoor Ahmed, M. Afzal Khan, Nasar Qamar Khan
Rok vydání:	2020
Předmět:	medicine.medical_specialty genetic structures business.industry medicine.medical_treatment Glaucoma medicine.disease Aphakia eye diseases Posterior segment of eyeball Ophthalmology medicine Trabeculectomy Examination Under Anesthesia sense organs Complication business Uveitis Pseudophakia
Zdroj:	Pakistan Journal of Ophthalmology. 36
ISSN:	2789-4347 0886-3067
DOI:	10.36351/pjo.v36i3.1043
Popis:	Purpose: To evaluate outcomes of trabeculectomy in terms of IOP control and its safety in terms of peroperativeand post-operative complications in Primary Congenital Glaucoma.Study Design: Interventional Case-Series.Place and Duration of Study: Helpers Eye Hospital, Quetta, from June 2017 to December 2018.Material and Methods: Thirty eyes of 17 patients were included in this case series after diagnosis of primarycongenital glaucoma. Patients with secondary congenital glaucoma due to trauma, surgery, inflammation, SturgeWeber Syndrome, Neurofibromatosis, cataract, uveitis, aphakia and pseudophakia were excluded from the study.Informed consent was taken from parents. Examination under anesthesia was done before surgery to recordpreoperative IOP, corneal diameter and anterior and posterior segment abnormalities. Primary trabeculectomywas done. Post-operative IOP and corneal diameter was recorded at 1st, 3rd and 6th month and every 6 monthsthereafter under general anesthesia. IOP at 12th month of surgery was the final outcome which was consideredsignificant if IOP was less than 21 mm Hg with stable corneal diameters.Results: Mean preoperative IOP was 25.8 mm Hg. Twenty-three (76.66%) eyes out of 30 eyes were consideredsuccessful with mean IOP of 15.3 mm Hg at last follow-up while 7 (23.33%) cases of failure were observed withpostoperative mean IOP of 27.71 mm Hg. These patients underwent additional surgeries to control IOP.Hyphema was the only complication observed in this study. Postoperative cataract developed in 5 eyes.Conclusion: Primary trabeculectomy is an effective operation and safe surgery for primary congenital glaucoma
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3b45f85e84af0cbd01f066eda6b23a1e https://doi.org/10.36351/pjo.v36i3.1043 Zobrazit plný text záznamu