EARLY POSTOPERATIVE COMPLICATION FOLLOWING FILTRATION SURGERY IN DR. KARIADI GENERAL HOSPITAL SEMARANG 2020-2022 Oral Presentation - Observational Study - Resident
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filtration surgery, trabeculectomy, early postoperative complication
Abstract
Introduction & Objectives
Filtration surgery is the most frequent surgery in managing glaucoma. Although trabeculectomy is
generally a safe and effective procedure, complications can occur. The purpose of the study was to
describe the early postoperative complications in patients who had undergone filtration surgery.
Methods
This study was a retrospective study that uses secondary data from electronic medical records of
patients who had filtration surgery between January 1, 2020, and December 31, 2022, in Kariadi
Hospital Semarang. Preoperative data include age, gender, visual acuity, intraocular pressure, and
type of glaucoma. The incidence of early postoperative complications was described up to 3 weeks of
follow-up.
Results
287 eyes were obtained from 266 patients who underwent filtration surgery. 168 eyes (58.5%) had
phaco-trabeculectomy, 117 eyes (40.77%) had trabeculectomy and 2 eyes (0.7%) had ECCEtrabeculectomy.
Primary angle closure glaucoma (126 eyes, 43.9%) was the most common type of
glaucoma treated with filtration surgery. During the 3-week follow-up period, 93 eyes (32.4%)
experienced an early complication with trabeculectomy being more common (17.42%) than
combined surgery. The commonest complication found was hypotony in 69 eyes (24%). Other
complications include hyphema (3.14%), transient intraocular pressure elevation (3.14%), bleb
leakage (2.09%), suprachoroidal haemorrhage (0.7%), subhyaloid haemorrhage (0.35%) and retinal
haemorrhage (0.35%).
Conclusion
This study found the most common early postoperative complication of filtration surgery was
hypotony. This complication occurs frequently after trabeculectomy.
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Authors
Copyright (c) 2023 Mazidah Zulfa, Denti Puspasari, Maharani, Fifin L Rahmi
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