Trabeculectomy in patients with an advanced stage of glaucoma in Santiago de Cuba

Abstract

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.

Keywords

• glaucoma avanzado
• trabeculectomía
• presión intraocular