Summary:
Purpose: To determine whether preoperative anatomical and functional results
have an influence on the postoperative decreas in intraocular pressure (IOP) and
therapy two years after trabeculectomy (TE).
Methods: In a retrospective study 40 patients (80 eyes) with primary open angle
glaucoma were followed. They underwent TE with two releasable sutures on both
eyes performed by the same method and the same surgeon. The preoperative and
postoperative levels ofIOP(asmeasuredbytheGoldmanntonometer)andtherapy
(according to target pressure) were compared with preoperative gonioscopy
(Shaffer’s scale 0–4), the excavation of the optic nerve (c/d ratio) and preoperative
results of the visual field (threshold tests and Aulhorn’s classification 0–V).
Results: The preoperative size of the angle of the anterior chamber has no
expressive influence on the postoperative decreas in IOP (p=0.079), there is an
even smaller influence on decreas on therapy (p=0.619). As well the preoperative
excavation of the optic disc had no influence on the postoperative decreas in IOP
(p=0.179) and therapy (p=0.467). There is an analogy with the visual fields; preoperative
changes had no influence on the postoperative decrease IOP (p=0.502)
and therapy (p=0.247).
Conclusion: Preoperative anatomical and functional status had no the influence
on the success of TE.
Key words:
c/d ratio, glaucoma, gonioscopy, intraocular pressure, therapy, trabeculectomy,
visual field
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