Trabeculectomy for acute primary angle closure

Aung, Tin; Tow, Sharon; Yap, Eng‐Yiat; Chan, Siew‐Pang; Seah, S.K.W.

doi:10.1016/s0161-6420(00)00137-8

Cited by 75 publications

(53 citation statements)

References 40 publications

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“…Trabeculectomy in the presence of medically uncontrolled AAC has a 65.6% chance of success (IOPo21 mm Hg with or without medication) at a mean follow-up of 22 months. 6 Complications include shallow anterior chamber, transient IOP elevation, and hyphaema. 6 In conclusion, we feel that cyclodiode laser is a safe alternative to lensectomy or trabeculectomy in cases of AAC, which are unresponsive to first-line medical and laser therapy.…”

Section: Discussionmentioning

confidence: 99%

“…6 Complications include shallow anterior chamber, transient IOP elevation, and hyphaema. 6 In conclusion, we feel that cyclodiode laser is a safe alternative to lensectomy or trabeculectomy in cases of AAC, which are unresponsive to first-line medical and laser therapy. It has the advantages of being quick and easy to perform in an emergency setting and does not entail the more serious risks of an open surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

“…In cases where the IOP does not settle in spite of conventional therapy, surgical interventions including lensectomy, 4 goniosynechialysis, 5 and trabeculectomy 6 may be effective. However, lensectomy can be technically challenging with a risk of complications including suprachoroidal haemorrhage and decompression retinopathy.…”

Section: Introductionmentioning

confidence: 99%

“…7 Trabeculectomy in this setting has a high risk of surgical failure and postoperative complications. 6 We describe five cases of AAC refractory to conventional treatment where diode laser transscleral cyclophotocoagulation (cyclodiode laser) achieved successful control of IOP and resolution of the acute attack.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cyclodiode laser in the treatment of acute angle closure

Manna

Foster

Papadopoulos

et al. 2012

Eye

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cyclodiode laser in the treatment of acute angle closure

Manna

Foster

Papadopoulos

et al. 2012

Eye

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show abstract

“…This increased risk of complications should be taken into account when deciding on trabeculectomy. (Aung et al, 2000) …”

Section: Other Surgical Optionsmentioning

confidence: 99%

Current Diagnosis and Management of Angle-Closure Glaucoma

Castañeda-Diez¹,

Mayorquín-Ruiz²,

Esponda-Lamoglia³

et al. 2011

Glaucoma - Current Clinical and Research Aspects

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Postoperative Complications After Glaucoma Surgery for Primary Angle-Closure Glaucoma vs Primary Open-Angle Glaucoma

Tan¹

2011

Arch Ophthalmol

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To investigate the incidence of postoperative complications arising in the first year after trabeculectomy and combined phacotrabeculectomy in eyes with primary angle-closure glaucoma (PACG) vs those with primary open-angle glaucoma (POAG). Methods: This was a retrospective study of all glaucoma operations done at a Singapore hospital from January 9, 2001, to December 30, 2004. The types of glaucoma surgery included trabeculectomy and phacotrabeculectomy, all with mitomycin C or fluorouracil. The incidences of postoperative complications and reoperations were analyzed. For those who underwent bilateral or repeated operations, only the first operated eye of each subject was included. Results: A total of 446 subjects with PACG (112 who underwent trabeculectomy and 334 who underwent phacotrabeculectomy) and 816 subjects with POAG (208 who underwent trabeculectomy and 608 who underwent phacotrabeculectomy) were analyzed. Postoperative complications occurred in 65 of 1262 eyes (5.2%) overall, with 27 eyes (8.4%) in the trabeculectomy group (PACG: 8.0%; 95% confidence interval [CI], 4.3%-14.6%; POAG: 8.7%; 95% CI, 5.5%-13.3%; P Ͼ.99) and 38 eyes (4.0%) in the phacotrabeculectomy group (PACG: 5.1%; 95% CI, 3.2%-8.0%; POAG: 3.5%; 95% CI, 2.3%-5.2%; P = .31). The rate of complications was significantly higher in the trabeculectomy group than the phacotrabeculectomy group overall (P =.003), but there was no significant difference between the POAG and PACG groups overall (POAG: 4.8%; 95% CI, 3.5%-6.5%; PACG: 5.8%; 95% CI, 4.0%-8.4%; P=.53). The commonest complication found was hypotony with overfiltration (23 cases [1.8%]), followed by bleb leak (11 cases [0.9%]). There was no significant difference in incidence of reoperations between POAG (2.7%; 95% CI, 1.8%-4.1%) and PACG (4.0%; 95% CI, 2.6%-6.3%) (P =.27). Conclusion: The incidences of postoperative complications and reoperations in the first year after glaucoma surgery were similar for PACG and POAG.

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Trabeculectomy for acute primary angle closure

Cited by 75 publications

References 40 publications

Cyclodiode laser in the treatment of acute angle closure

Cyclodiode laser in the treatment of acute angle closure

Current Diagnosis and Management of Angle-Closure Glaucoma

Postoperative Complications After Glaucoma Surgery for Primary Angle-Closure Glaucoma vs Primary Open-Angle Glaucoma

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