Abstract

NOVOA SANCHEZ, Esther  and  GARCIA GONZALEZ, Francisco. Results of macrotrabeculectomy in open-angle glaucoma. Rev Cubana Oftalmol [online]. 1999, vol.12, n.2, pp. 0-0. ISSN 1561-3070.

Macrotrabeculectomy was used as a surgical procedure in patients with simple chronic glaucoma and its results and effectiveness as a filtering surgery were evaluated. This surgery was performed in 19 eyes with primary open-angle glaucoma, intraocular pressure (IOP) over 26 mmHg, D/D index 0,3 to 0,8 and minimal or evident alterations of the visual field (VF) that were systematically assesed in the first, third and sirxth months of the postoperative follow-up. IOP lowered from 28 mmHg ± 1,8 to 15,9 mmHg ± 2,2 in the postoperative period, with the required use of a betablocker just in 4 cases (21,0 %) for controlling it; C/D index and VF remained practically the same; postoperative VA was reduced in 2 cases (10,5 %) with previous crystalline opacity. The transoperative ophtalmological complications were: ciliary body protusion in 4 cases (21,0 %). Among the postoperative complications, hyphemia was found in 10 patients (52,6 %), ocular hypertension in 6 cases in the first 4-6 weeks and an increased crystalline opacity in 2 patients (10,5 %). There were stable IOP control in the majority of cases, discrete changes in visual functions (VA and VF) and a low number of irrelevant complications being hyphemia the most frequent.

Keywords : FILTERING SURGERY; GLAUCOMA; OPEN ANGLE.

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