Trabeculectomy Versus Tube Outcome in Neovascular Glaucoma Oral Presentation - Observational Study - Resident
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Neovascular glaucoma, Trabeculectomy, Tube-shunt surgery
Abstract
Introduction & Objectives
Neovascular glaucoma (NVG) is known to be a refractory form of glaucoma, which frequently
requires the integrated use of medical, laser and incisional surgery. Tube-shunt implantation and
trabeculectomy with antifibrotic agent are the two most-popular incisional procedures for managing
refractory glaucoma. This study aims to compare surgical outcome between patients who underwent
trabeculectomy versus tube-shunt implantation for the treatment of NVG.
Methods
A retrospective study was held of NVG patients that underwent trabeculectomy and tube-shunt
implantation between January 2020 - December 2022 at Dr. Kariadi Hospital, Semarang. IOP
outcome and success rate was measured at 3 months post operatively. Statistical analysis was used
to compare the outcome between groups, p<0.05 was considered significant.
Results
There were no significant differences in characteristics between groups at baseline. Mean IOP
measured at 3 months post operatively was 18.58 ± 5.53 and 15.94 ± 10.79 in trabeculectomy and
tube group respectively (p=0.04), complete success rate was 18.8% in trabeculectomy and 25% in
tube group, qualified success rate was 37.5% in trabeculectomy and 56.3% in tube group. Greater
failure rate was observed in trabeculectomy group (43.8%).
Conclusion
Compared to trabeculectomy, tube-shunt implantation has lower IOP at 3 months post operatively in
NVG. Greater failure rate was observed in trabeculectomy.
Full text article
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Authors
Copyright (c) 2023 Daisy Syakhsiatusy Syahiqoh, Fifin Luthfia Rahmi, Denti Puspasari, Maharani
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
