Trabeculectomy in Patients With Glaucoma Over 80 Years of Age

Duman, Fulya; Waisbourd, Michael; Faria, Bruno; Addis, Victoria; Hsieh, Michael; Ekici, Feyzahan; Hark, Lisa A; Spaeth, George L.

doi:10.1097/ijg.0000000000000230

Cited by 9 publications

(10 citation statements)

References 23 publications

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“…In this study, glaucoma surgery was not found to be significantly associated with visual performance [21]. Duman F et al compared the surgical outcomes of trabeculectomy performed in patients above 80 years with those of younger controls [2]. After 1 year, the failure rate was 31.3% in the elderly group, which is not significantly different from that of younger patients (p = 0.98) [2].…”

Section: Discussionmentioning

confidence: 53%

“…Glaucoma is an important problem for elderly patients' social lives [2,16]. Reading, walking, and eating can sometimes be difficult for glaucoma patients [2,16]. Visual field (VF) defects are particularly important for progressive disease.…”

Section: Discussionmentioning

confidence: 99%

“…Duman F et al compared the surgical outcomes of trabeculectomy performed in patients above 80 years with those of younger controls [2]. After 1 year, the failure rate was 31.3% in the elderly group, which is not significantly different from that of younger patients (p = 0.98) [2]. However, these studies did not collect sufficient information about elderly patients.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, glaucoma has a significant effect on the economy [1]. Older patients with glaucoma have difficulty in social activities [2]. Moreover, the elderly are more likely to have systemic diseases, which may affect their visual capacities and place them at a greater risk for having surgery [2].…”

Section: Introductionmentioning

confidence: 99%

“…Older patients with glaucoma have difficulty in social activities [2]. Moreover, the elderly are more likely to have systemic diseases, which may affect their visual capacities and place them at a greater risk for having surgery [2]. Prior research has consistently found that patients with chronic eye diseases have high rates of emotional problems; Popescu ML et al showed the relationship between eye disease and depression, where visually limiting eye disease is associated with depression in older adults [3].…”

Section: Introductionmentioning

confidence: 99%

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The Results of Trabeculectomy with Antimetabolites in Elderly Patients: A Retrospective Study

et al. 2021

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Objective: To examine the effectiveness and results of primary trabeculectomy with 5-fluorouracil (group 1) or mitomycin-C (group 2) in elderly patients. Materials and Methods: This was a retrospective study including 67 eyes with primary open-angle glaucoma that underwent primary trabeculectomy with group 1 or group 2. Patients who were followed up for less than 1 year or were under 55 years of age were excluded from the study. Surgical success was evaluated according to a decrease in cup/disk ratio and reduction of intraocular pressure without any topical medication. Results: The mean ages of participants were 65.7 years (range 59–88) and 65.9 years (range 59–74) in groups 1 and 2, respectively. The mean preoperative and postoperative intraocular pressure values were 31.3 ± 5.7 mmHg (range 17–46) and 14.8 ± 0.4 mmHg (range 10–21) in group 1 (p < 0.001) and 31.5 ± 7.4 mmHg (range 18–52) and 14.8 ± 2.9 mmHg (range 10–21) in group 2 (p < 0.001). Conclusion: The use of 5-fluorouracil or mitomycin-C during primary trabeculectomy is associated with high postoperative success rates. There were no significant differences between 5-fluorouracil and mitomycin-C in terms of intraocular pressure reduction.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Results of Trabeculectomy with Antimetabolites in Elderly Patients: A Retrospective Study

et al. 2021

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Evaluation of Adverse Effects of Topical Glaucoma Medications on Trabeculectomy Outcomes Using the Glaucoma Medications Intensity Index

et al. 2021

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Introduction:Trabeculectomy is commonly performed for glaucoma when medications are unable to control disease progression or have intolerable adverse effects. Previous studies have suggested that a higher number of and/or longer treatment duration with preoperative topical glaucoma medications are associated with a higher risk of trabeculectomy failure, but most of these studies lack quantification of exposure. The aim of this study was to investigate the relationship between preoperative exposure to topical glaucoma medications and trabeculectomy outcome, using a new method for quantifying accumulated exposure. Methods: Consecutive patients with primary open-angle glaucoma (POAG) or normal-tension glaucoma (NTG) who underwent primary trabeculectomy between 2013 and 2017 were retrospectively reviewed. The Glaucoma Medications Intensity Index (GMII) was calculated for each eye by multiplying the number of drops per week by duration of use (in years). The

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Efficacy of gonioscopy-assisted transluminal trabeculotomy in advanced-age glaucoma patients

Khan

Waldner

Ford

et al. 2024

Canadian Journal of Ophthalmology

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Trabeculectomy in Patients With Glaucoma Over 80 Years of Age

Cited by 9 publications

References 23 publications

The Results of Trabeculectomy with Antimetabolites in Elderly Patients: A Retrospective Study

The Results of Trabeculectomy with Antimetabolites in Elderly Patients: A Retrospective Study

Evaluation of Adverse Effects of Topical Glaucoma Medications on Trabeculectomy Outcomes Using the Glaucoma Medications Intensity Index

Efficacy of gonioscopy-assisted transluminal trabeculotomy in advanced-age glaucoma patients

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