Estudio del seguimiento de la macrotrabeculectomía en el glaucoma

  1. Lázaro García C 1
  2. Castillo Gómez A 1
  3. García Feijoó J 1
  4. Macías Benítez JM 1
  5. García Sánchez J 1
  1. 1 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2002

Volume: 77

Issue: 4

Pages: 195-200

Type: Article

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Abstract

Purpose In this study we report the preliminary results of macrotrabeculectomy in our hospital. Method Fifty-nine eyes of 41 patients with open-angle glaucoma underwent macrotrabeculectomy from Sept. 1994 through Sept. 1995 and were retrospectively analysed. Intraocular pressure control was defined as a decrease of postoperative IOP lower than 21 mm Hg or a decrease of at least 20% of initial IOP if this was lower than 21 mm Hg. Disc/cup ratio control was assumed when the progression was under 0.2. Disease control was defined when IOP, disc/cup ratio and visual field were controlled. Results IOP control was obtained in 93.22% of patients at 2 years and in 91.19% at 3 and 4 years. Disease control was achieved in 88.14% at 2 years and 84.3% at 3 and 4 years (Kapplan-Meier survival analysis). Conclusion Macrotrabeculectomy is a safe and effective technique to control IOP and glaucomatous disease (Arch Soc Esp Oftalmol 2002; 77: 195-200).

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