J Korean Ophthalmol Soc.  2002 Mar;43(3):516-525.

Clinical Analysis of Glaucoma Patients Undergone Filtration Surgery

• Cho SH
• Hyung SM

Abstract

PURPOSE: We evaluated clinical aspects of the glaucoma patients who had undergone trabeculectomy.
METHODS
We analyzed 211 patients' medical records who had undergone trabeculectomy in Chungbuk National University Hospital from August 1991 to December 1999 retrospectively.
RESULTS
The mean age of the patients was 57.1+/-16.3 years and the 119 eyes (56.4%) had bilateral glaucoma. Among them, 57 eyes (47.9%) had primary open-angle glaucoma. Cataract was the most common cause of decreased vision in the fellow eye during the mean follow-up period of 25.4+/-22.3 months. The number of patients whose visual acuity in the fellow eyes less or equal to hand movement before surgery were 25 eyes (11.8%) and they resulted from glaucoma (18 eyes) and trauma (4 eyes).
CONCLUSIONS
The fellow eyes of the glaucoma patients who had undergone trabeculectomy were easily subject to high prevalence of glaucoma that may lead to blindness. Therefore, more thorough and periodic ocular examination and appropriate treatments are mandatory to prevent further progress in these eyes with more advanced glaucoma.

Keyword

Fellow eye; Prevalence of glaucoma; Rate of blindness; Trabeculectomy

MeSH Terms

Blindness
Cataract
Chungcheongbuk-do
Filtering Surgery*
Filtration*
Follow-Up Studies
Glaucoma*
Glaucoma, Open-Angle
Hand
Humans
Medical Records
Prevalence
Retrospective Studies
Trabeculectomy
Visual Acuity