Post-traumatic angle recession glaucoma: a risk factor for bleb failure after trabeculectomy

Details

Serval ID
serval:BIB_8C23F55AE0BC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Post-traumatic angle recession glaucoma: a risk factor for bleb failure after trabeculectomy
Journal
British Journal of Ophthalmology
Author(s)
Mermoud  A., Salmon  J. F., Straker  C., Murray  A. D.
ISSN
0007-1161 (Print)
Publication state
Published
Issued date
10/1993
Volume
77
Number
10
Pages
631-4
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Oct
Abstract
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 without glaucoma medication) was found in 15 of the 35 (43%) patients with angle recession glaucoma compared with 26 of the 35 (74%) patients with primary open angle glaucoma. The long term success of trabeculectomy was significantly worse in angle recession glaucoma when the results were analysed using Kaplan-Meier survival curves. Bleb failure occurred a mean period of 3.1 (SD 1.2) months after trabeculectomy in angle recession glaucoma compared with 9.4 (5) months in primary open angle glaucoma (p < or = 0.001). The finding that posttraumatic angle recession is a risk factor for failure of trabeculectomy, supports the use of antimetabolite therapy to suppress fibrosis after trabeculectomy in these patients.
Keywords
Adult Aged Eye Injuries/physiopathology/surgery Female Glaucoma/physiopathology/*surgery Glaucoma, Open-Angle/physiopathology/surgery Humans Intraocular Pressure Male Middle Aged Postoperative Period Retrospective Studies Risk Factors *Trabeculectomy/adverse effects Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 12:49
Last modification date
20/08/2019 14:50
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