A study of various complications and factors associated with primary trabeculectomy
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2015, Vol 13, Issue 3
Abstract
Introduction: Trabeculectomy has historically been the surgical standard of care for patients with medically refractory glaucoma. Aims and Objective: To Study various complications and factors associated with primary trabeculectomy. Methodology: This was retrospective cross-sectional study in the Ophthalmology department of tertiary health care center. 112 Patients who had undergone primary trabeculectomy operation in the Glaucoma during the three-year period i.e. from January 2012 to December 2014 were included in the study. The record of the patients involved were scrutinized for follow up, complications and demographic characters Result: The majority of the Patients were in the age group of 50-60 i.e. 34.82% followed by 40-50 were 28.57%; in 30-40 were 15.17%; in >60 were 13.39% and in 20-30 were 8.03%. The majority of the Patients were male i.e. 58.03 % and Females were 41.96%. The most common complications were Hyphema in 25% followed by Bleb leak in 19.44%; Hypotony in 13.88%; Microhyphema in 11.11%; Choroidal effusion in 8.33% ; Endophthalmitis in 8.33%; Choroidal hemorrhage in 5.55%; Blebitis in 5.55%; Aqueous misdirection in 3.57%. The majority of the patients with the complications associated with the risk factors were Glaucoma with pigment dispersion syndrome (PDS) were 36.11% followed by H/o Diabetes in 19.44%; H/o Hypertension in 13.88% ; Pseudo phakia with Tenons Cyst in 11.11% in Old age 8.33%. Conclusion: It can be concluded from our study that the most common complications were Hyphema followed by Bleb leak, Hypotony, Microhyphema, Choroidal effusion, Endophthalmitis, Choroidal hemorrhage, Blebitis, Aqueous misdirection, the majority of the patients with the complications associated with the risk factors were Glaucoma with PDS were followed by H/o Diabetes, H/o Hypertension, Pseudo phakia with Tenons Cyst, and Old age.
Authors and Affiliations
Vijay Kumar Srivastava, Leena Lawrence
Keywords
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