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Success of primary trabeculectomy in advanced open angle glaucoma

Clinical Ophthalmology May 30, 2021

Pantalon A, Feraru C, Tarcoveanu F, et al. - Researchers conducted this retrospective longitudinal study for evaluating trabeculectomy survival in advanced open-angle glaucoma (OAG). This investigation included advanced glaucoma patients in need OF filtering surgery. One hundred sixty-five eyes from 165 OAG patients were included: primary forms (POAG) – 86 eyes and secondary (pseudoexfoliative, SOAG) – 79 eyes; mean follow-up interval was 36.21 ± 13.49 months. Trabeculectomy in advanced OAG achieved very good survival rates (77% and 88.6%) at 36 months postoperative, if IOP could be maintained ≤ 15 mmHg, respectively ≤ 12 mmHg with medication and additional needling+5FU maneuvers. For each success definition, specific factors influencing survival were identified.

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