Alemu B
Department of Ophthalmology, Medical Faculty, Addis Ababa University.
Ethiop Med J. 1997 Jan;35(1):1-11.
A retrospective study of the complications of trabeculectomy performed in the Department of Ophthalmology, Medical Faculty, Addis Ababa University between 1987-1990 is presented. Trabeculectomy was performed in 470 eyes of 354 patients during the four years period. The types of glaucomas were primary open angle glaucoma in 215 eyes (46%), primary angle closure glaucoma in 105 eyes (22%), secondary glaucoma in 117 eyes (25%) and congenital glaucoma in 33 eyes (7%). The post operative complications were shallow anterior chamber (29%), cataract (24%), hyphema (24%), uveitis (17%), choroidal detachment (4%), and conjunctival defect (3%). The post operative results show that intraocular pressure of 355 eyes (76%) were controlled with trabeculectomy alone, 17 eyes (4%) were controlled with trabeculectomy and additional medical treatment and in 98 eyes (21%), trabeculectomy with medical treatment failed to control the intraocular pressure. The overall success rate in controlling IOP was 79% and this result is similar to and comparable with results in the literature. The large exclusion (277 patients) is largely due to the fact that records could not be found.
本文呈现了一项对1987年至1990年间在亚的斯亚贝巴大学医学院眼科进行的小梁切除术并发症的回顾性研究。在这四年期间，对354例患者的470只眼睛进行了小梁切除术。青光眼类型包括原发性开角型青光眼215只眼（46%）、原发性闭角型青光眼105只眼（22%）、继发性青光眼117只眼（25%）和先天性青光眼33只眼（7%）。术后并发症包括浅前房（29%）、白内障（24%）、前房积血（24%）、葡萄膜炎（17%）、脉络膜脱离（4%）和结膜缺损（3%）。术后结果显示，355只眼（76%）仅通过小梁切除术眼压得到控制，17只眼（4%）通过小梁切除术及额外药物治疗眼压得到控制，98只眼（21%）小梁切除术联合药物治疗未能控制眼压。控制眼压的总体成功率为79%，这一结果与文献中的结果相似且具有可比性。大量排除病例（277例患者）主要是因为找不到记录。
