330 Trabeculectomies — A Follow‐up Study Through ½‐3 Years

Abstract

In 1967 a new microsurgical procedure for glaucoma known as trabeculectomy was introduced. This method is reported to have few early complications and a good pressure-reducing effect. Our material presents the results of 330 consecutive trabeculectomies with a follow-up period of 1/2-3 years. The following items are discussed: IOP, visual acuity, visual fields, surgical complications, and need of re-operation and medical postoperative therapy. We conclude that trabeculectomy is a safe and efficient antiglaucoma operation, recommended as an attractive alternative to heavy medication.

Primary Trabeculectomy Surgery Performed by Residents at a County Hospital

“…11,[15][16][17][18][19][20][21][22][23] Thus, our results compare favorably with these prior studies, which also had high success rates and significant decreases in IOP. The final follow-up visual acuities postoperatively have been reported to be unchanged or improved in 47% to 87% in many recent study trials.…”

“…Similarly, although trabeculectomies are not as widely performed by residents in ophthalmology training programs as are cataract extraction procedures, the assessment of resident success and complication rates in performing trabeculectomy serves at least 2 purposes: 10,[15][16][17][18][19][20] Correspondingly, success rates of 43% to 98% are found in the literature. 11,[15][16][17][18][19][20][21][22][23] Thus, our results compare favorably with these prior studies, which also had high success rates and significant decreases in IOP.…”

Long‐term outcome following trabeculectomy: I

“…Most operations were performed by one surgeon and 43% by five additional surgeons. The surgery was performed in local anesthesia according to a procedure described by Jerndal & Lundstrom (1977).…”

Medical therapy versus trabeculectomy in patients with open-angle glaucoma

“…Trabeculectomy reported had a success rates ranging between 48% and 98% according to previous literature (6,7,(19)(20)(21)(22)(23)(24)(25)(26) . The exact rate in eyes with medical therapy, however, is unknown.…”