Trabeculectomy in patients with an advanced stage of glaucoma in Santiago de Cuba
Keywords:
glaucoma in advanced stage, trabeculectomy, intraocular pressureAbstract
Introduction: behavior in advanced stage glaucoma has brought controversies among specialists in ophthalmology due to its possible visual consequences.
Objective: to evaluate the outcome of trabeculectomy surgery in patient treated with glaucoma in advanced stage.
Method: an observational, descriptive, and longitudinal study of several cases was conducted at the Hospital General Docente “Dr. Juan Bruno Zayas Alfonso” in Santiago de Cuba, from 2015 through 2018. It was involved as total and selected 57 eyes with glaucoma in advanced stage and associated with a trabeculectomy surgery. Variables used were: age, sex, preoperative and postoperative variables used (number of drugs used for glaucoma management, best corrected visual acuity, visual field, measurement of intraocular pressure, and postoperative complications).
Results: average age was 65.4% and 55.8% were male. Preoperative and postoperative visual acuity in 54 eyes (96.5%) was the same. Antiglaucoma medication decreased to a median value of 1.6 drugs and the postoperative intraocular pressure, 2 years after surgery, was 16.5 mmHg. The overall success rate was 93.0%.
Conclusions: trabeculectomy had a satisfactory success rate in the patients with glaucoma in advanced stage treated.
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References
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15. Leleu I, Penaud B, Blumen-Ohana E, Rodallec T, Adam R, Laplace O, et al. Central 10-degree visual field change following non-penetrating deep sclerectomy in severe and end-stage glaucoma: Preliminary results. Graefes Arch Clin Exp Ophthalmol [Internet]. 2018 [citado 18 Sep 2020]; 256:1489-98. Disponible en: https://link.springer.com/article/10.1007/s00417-018-4025-6
16. Baser EF, Seymenoglu G, Mayali H. Trabeculectomy for advanced glaucoma. Int Ophthalmol [Internet]. 2011 [citado 18 Sep 2020]; 31:439-46. Disponible en: https://www.nature.com/articles/s41433-019-0336-z
17. Theventhiran A, Shabsigh M, de Moraes CG, Cioffi GA, Kamel M, Blumberg D, et al. A comparison of retrobulbar versus topical anesthesia in trabeculectomy and aqueous shunt surgery. J Glaucoma [Internet]. 2018 [citado 18 Sep 2020]; 27:28-32. Disponible en: https://journals.lww.com/glaucomajournal/Fulltext/2018/01000/A_Comparison_of_Retrobulbar_Versus_Topical.5.aspx
2. Germano RAS, Moraes CG de, Susanna R, Dantas DO, Neto ES. Evaluation of a novel visual field analyzer application for automated classification of glaucoma severity. J Glaucoma [Internet]. 2017 [citado 3 Sep 2020]; 26:586-91. Disponible en: https://journals.lww.com/glaucomajournal/Fulltext/2017/06000/Evaluationof a Novel Visual Field Analyzer.13.aspx
3. Barría F, Jiménez-Román J. Guía latinoamericana de glaucoma primario de ángulo abierto para el médico oftalmólogo general [Internet]. México: Consejo Internacional de Oftalmología; 2019. [citado 3 Sep 2020]. Disponible en: https://paao.org/wp-content/uploads/2016/05/Guia-Glaucoma-2019-final-para-www.pdf
4. Gillies WE, Brooks AM, Strang NT. Management and prognosis of end-stage glaucoma. Clin Exp Ophthalmol [Internet]. 2000 [citado 3 Sep 2020]; 28:405-8. Disponible en: www.researchgate.net/publication/227958583 Management and prognosis of end-stage glaucoma
5. Brusini P. Central visual field loss in end-stage glaucoma. JAMA Ophthalmol [Internet]. 2020 [citado 3 Sep 2020]; 138:198. Disponible en: https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2757830#239336275
6. Wang M, Tichelaar J, Pasquale LR, Shen LQ, Boland MV, WellikSR, et al. Characterization of central visual field loss inend-stageglaucoma by unsupervised artificial intelligence. JAMA Ophthalmol [Internet]. 2020 [citado 18 Sep 2020]; 138:190. Disponible en: https://www.researchgate.net/publication/338349697_Characterization_of_Central_Visual_Field_Loss_in_End-stage_Glaucoma_by_Unsupervised_Artificial_Intelligence
7. Giaconi JA, Law SK, Nouri-Mahdavi K, Coleman AL, Caprioli J (eds.). Pearls of glaucoma management [Internet]. Berlin: Springer; 2016. Disponible en: https://link.springer.com/book/10.1007%2F978-3-662-49042-6
8. D’stefano GA. Impacto de la cirugía de catarata en la calidad de vida de pacientes con glaucoma avanzado. Oftalmol Clin Exp [Internet]. 2019 [citado 18 Sep 2020]; 12(1):27-34. Disponible en: https://oftalmologos.org.ar/oce/items/show/411
9. Leleu I, Penaud B, Blumen-Ohana E, Rodallec T, Adam R, Laplace O, et al. Risk assessment of sudden visual loss Following non-penetrating deep sclerectomy in severe and end-stage glaucoma. Eye [Internet]. 2019 [citado 18 Sep 2020]; 33:902-9. Disponible en: https://www.nature.com/articles/s41433-019-0336-z.pdf?origin=ppub
10. King AJ, Fernie G, Azuara-Blanco A, Burr JM, Garway-Heath T, Sparrow JM, et al. Treatment of Advanced Glaucoma Study: A multicenter randomized controlled trial comparing primary medical treatment with primary trabeculectomy for people with newly diagnosed advanced glaucoma-study protocol. Br J Ophthalmol [Internet]. 2018 [citado 18 Sep 2020]; 102:922-8. Disponible en: https://bjo.bmj.com/content/bjophthalmol/102/7/922.full.pdf
11. WHO. Delivering quality health services [Internet]. Geneva: World Health Organization, Organization for Economic Co-operation and Development, and The World Bank; 2018 [citado 18 Sep 2020]. Disponible en: https://openknowledge.worldbank.org/bitstream/handle/10986/29970/127816.pdf?sequence=4&isAllowed=y
12. Fernández L, Piloto I, Domínguez M. Glaucoma. Temas quirúrgicos [Internet]. La Habana: Editorial Ciencias Médicas; 2013. Disponible en: http://www.bvs.sld.cu/libros/glaucoma_temasquirurgicos/glaucoma_temasquirurgicos_cap5.pdf
13. Sofi RA, Shafi S, Qureshi W, Ashraf S. Merits of trabeculectomy in advanced and end-stage glaucoma. Int J Health Sci (Qassim) [Internet]. 2018 [citado 18 Sep 2020]; 12:57-60. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870319/
14. el Afrit MA, et al. Evaluación de resultado del tratamiento quirúrgico en el glaucoma avanzado. Arch Soc Esp Oftalmol [Internet]. 2020. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0365669120302422?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0365669120302422%3Fshowall%3Dtrue&referrer
15. Leleu I, Penaud B, Blumen-Ohana E, Rodallec T, Adam R, Laplace O, et al. Central 10-degree visual field change following non-penetrating deep sclerectomy in severe and end-stage glaucoma: Preliminary results. Graefes Arch Clin Exp Ophthalmol [Internet]. 2018 [citado 18 Sep 2020]; 256:1489-98. Disponible en: https://link.springer.com/article/10.1007/s00417-018-4025-6
16. Baser EF, Seymenoglu G, Mayali H. Trabeculectomy for advanced glaucoma. Int Ophthalmol [Internet]. 2011 [citado 18 Sep 2020]; 31:439-46. Disponible en: https://www.nature.com/articles/s41433-019-0336-z
17. Theventhiran A, Shabsigh M, de Moraes CG, Cioffi GA, Kamel M, Blumberg D, et al. A comparison of retrobulbar versus topical anesthesia in trabeculectomy and aqueous shunt surgery. J Glaucoma [Internet]. 2018 [citado 18 Sep 2020]; 27:28-32. Disponible en: https://journals.lww.com/glaucomajournal/Fulltext/2018/01000/A_Comparison_of_Retrobulbar_Versus_Topical.5.aspx
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Published
2021-03-04
How to Cite
1.
Silva-Chil TY, González-Naranjo M, González-Orza Y, Suárez-Sánchez O, Duperet-Carvajal D. Trabeculectomy in patients with an advanced stage of glaucoma in Santiago de Cuba. Rev Inf Cient [Internet]. 2021 Mar. 4 [cited 2025 Apr. 8];100(2):e3354. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/3354
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