Mathew, RG;
Parvizi, S;
Murdoch, IE;
(2019)
Success of trabeculectomy surgery in relation to cataract surgery: 5-year outcomes.
British Journal of Ophthalmology
, 103
(10)
pp. 1395-1400.
10.1136/bjophthalmol-2018-312972.
Preview |
Text
Murdoch_BRITISH JOURNAL OF OPHTHALMOLOGY 103 (10) pp. 53-58 Submission for minor revisions.pdf - Accepted Version Download (377kB) | Preview |
Abstract
Aims: To compare success proportions at 5 years in three surgical groups: group 1, trabeculectomy alone; group 2, trabeculectomy followed by cataract surgery within 2 years; and group 3, trabeculectomy performed on a pseudophakic eye. Methods: A retrospective cohort study. 194 eyes of 194 patients were identified with at least 5 years’ follow-up post trabeculectomy (N=85, 60 and 49 in groups 1, 2 and 3, respectively). Main outcome measures: 1. Primary outcome measure: intraocular pressure (IOP) at 5 years post-trabeculectomy surgery, 2.Secondary outcome measure: change in visual acuity at 5 years. Results: At 5 years, the mean IOP (SD) was 12.9 (3.5), 12.5 (4.8) and 12.7 (4.8) mm Hg in groups 1, 2 and 3, respectively. Overall success was almost identical, 58%, 57% and 59% in groups 1, 2 and 3, respectively. There was no significant difference between the groups in terms of percentage IOP reduction, number of medications, proportion restarting medication and reoperation rates at 5 years. Logistic regression for an outcome of failure showed men to be at increased risk of failure OR 1.97 (95% CI 1.10 to 3.52, p=0.02). Nearly 80% of patients retained or improved their vision following their initial trabeculectomy. Conclusions: The sequence in which surgery is carried out does not appear to affect trabeculectomy function at 5 years, success being similar to trabeculectomy alone. In our study, men may be at increased risk of failure.
Type: | Article |
---|---|
Title: | Success of trabeculectomy surgery in relation to cataract surgery: 5-year outcomes |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1136/bjophthalmol-2018-312972 |
Publisher version: | http://dx.doi.org/10.1136/bjophthalmol-2018-312972 |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology |
URI: | https://discovery.ucl.ac.uk/id/eprint/10102040 |
Archive Staff Only
View Item |