Immediate and Early Post Operative Complications of Trabeculectomy in a Tertiary Care Centre

Abstract

OBJECTIVE: To assess the incidence of immediate and early postoperative complications following trabeculectomy, in a tertiary care Centre. MATERIALS AND METHODS: This was a retrospective study of complications, in a case series 366 patients, who underwent trabeculectomy with or without MMC at a tertiary Centre from January 2013-January 2015. 292 cases were operated without MMC and 74 cases with MMC. RESULTS: Of the, 366 case series, 63 cases (17.2%) had complications. Among it, High IOP was seen in 29 cases (46%), Shallow AC with Seidel's positive in 12 cases (19.04%) and Seidel's negative in 6 cases (9.52%), Severe reaction in the post-operative period in 9 cases (14.28%), PC rent intraoperatively in 3 cases (4.8%) and Encapsulated Bleb in 3 cases (4.8%). Out of 63 cases with complications, 17 cases (26.98%) were with MMC and 46 cases (73.01%) were without MMC. KEYMESSAGE: The main complication in the study was High IOP. The rate of complications were found to be less in cases with MMC, suggesting that, the main complication recorded in the study was High IOP. The other complication of shallow anterior, can be managed well, conservatively and surgically. Hence, augmented trabeculectomy with MMC, can be successfully used in less favourable cases of uncontrolled glaucoma.