Trabeculectomia en pacientes con glaucoma avanzado de Santiago de Cuba
Palavras-chave:
glaucoma avançado, trabeculectomia, pressão intra-ocularResumo
Introdução: o comportamento no glaucoma avançado é controverso entre os oftalmologistas devido às suas possíveis consequências visuais.
Objetivo: avaliar o resultado da trabeculectomia no tratamento de pacientes com glaucoma avançado.
Método: no Hospital General Docente “Dr. Juan Bruno Zayas Alfonso” de Santiago de Cuba, durante o período 2015-2018, foi realizado um estudo observacional, descritivo e longitudinal de uma série de casos. O universo era formado por 57 olhos com glaucoma avançado operados pela técnica citada. As variáveis são descritas: idade, sexo, variáveis no período pré e pós-operatório (quantidade de medicamentos para controle do glaucoma, acuidade visual melhor corrigida, campo visual, medida da pressão intra-ocular, complicações pós-operatórias).
Resultados: a média de idade foi de 65,4 anos, 55,8% eram homens. A acuidade visual pós-operatória foi igual à pré-operatória em 54 olhos (96,5%). A medicação antiglaucoma diminuiu para um valor médio de 1,6 medicamentos e a pressão intra-ocular pós-operatória em 2 anos foi de 16,5 mmHg. A taxa de sucesso total foi de 93,0%.
Conclusões: a trabeculectomia permite uma taxa de sucesso satisfatória no tratamento do glaucoma avançado nos pacientes estudados.
Downloads
Não há dados estatísticos.
Referências
1. Bojikian KD, Nobrega P, Wen JC, Zhang Q, Mudumbai RC, Johnstone MA, et al. Macular vascular microcirculation in eyes with open-angle glaucoma using different visual field severity classification systems. J Glaucoma [Internet]. 2019 [citado 3 Sep 2020]; 28(9). Disponible en: https://pubmed.ncbi.nlm.nih.gov/31233458/
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
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
Downloads
Publicado
2021-03-04
Como Citar
1.
Silva-Chil TY, González-Naranjo M, González-Orza Y, Suárez-Sánchez O, Duperet-Carvajal D. Trabeculectomia en pacientes con glaucoma avanzado de Santiago de Cuba. Rev Inf Cient [Internet]. 4º de março de 2021 [citado 8º de abril de 2025];100(2):e3354. Disponível em: https://revinfcientifica.sld.cu/index.php/ric/article/view/3354
Edição
Seção
Artigos Originais
