Department of Ophthalmology, University College Hospital, Ibadan, Oyo, Nigeria.
Eye (Lond). 2009 Feb;23(2):448-52. doi: 10.1038/sj.eye.6702979. Epub 2007 Oct 12.
To describe the post-operative complications reported in patients who had trabeculectomy with and without antimetabolite in UCH, Ibadan between 1999 and 2003 and the success rate achieved in term of the post-operative intraocular pressure (IOP).
A retrospective study of the records of glaucoma patients who had trabeculectomy between 1999 and 2003 and had follow-up in UCH Ibadan eye clinic for a minimum of 1 year was carried out.
Seventy-six out of 171 eyes that had trabeculectomy during the period were reviewed. Mean age of patients was 49.4 years. The mean preoperative IOP was 31.8 mm Hg. Success rate of 79.4% was achieved in term of IOP control at a year of follow-up. The most frequent early post-operative complication was shallow AC (13 eyes; 17.1%) while late complication was elevated IOP (21 eyes; 27.6%). Others were encapsulated bleb 7.9% and hyphema 3.9%. There was no significant difference in the complication rate in those who had intraoperative antimetabolite (5-fluorouracil) when compared with those operated without antimetabolite.
Guarded filtration surgery is effective in controlling IOP. Most of the complications noted were transient and not visually threatening.
描述 1999 年至 2003 年间在伊巴丹大学教学医院（UCH）接受小梁切除术并使用和不使用抗代谢物的患者的术后并发症，并报告术后眼压（IOP）的成功率。
对 1999 年至 2003 年间接受小梁切除术且在伊巴丹 UCH 眼科诊所随访至少 1 年的青光眼患者的记录进行回顾性研究。
在该期间，171 只眼中有 76 只接受了小梁切除术。患者的平均年龄为 49.4 岁。术前平均眼压为 31.8mmHg。在 1 年随访时，眼压控制的成功率为 79.4%。最常见的早期术后并发症是浅前房（13 只眼；17.1%），而晚期并发症是眼压升高（21 只眼；27.6%）。其他并发症包括包裹性滤泡 7.9%和前房积血 3.9%。术中使用抗代谢物（5-氟尿嘧啶）与未使用抗代谢物的患者相比，并发症发生率无显著差异。
谨慎的滤过性手术是控制眼压的有效方法。大多数观察到的并发症都是暂时的，不会对视力造成威胁。
Zotero 插件