Yousaf Jamal Mahsood, Mahmood Ali, Saima Farooq, Farah Akhtar.
Trabeculectomy Surgery by GlaucomaTrainee Fellows at a Tertiary Care Hospital (Results of one year study).
Ophthalmol Update Jan ;16(2):636-41.

Purpose: To determine the outcomes of trabeculectomy surgery performed by a recently trained Fellow in glaucoma. It is a prospective descriptive study. Methods: This study was conducted at Glaucoma clinic of Al-Shifa Trust Eye Hospital, Rawalpindi after approval of ethics committee from 1st Nov. 2015 to 30th June 2017. Patients booked for trabeculectomy with 5-Flurouracil (5FU), whether primary or repeat, were included. All patients were operated by the glaucoma fellowos (GF) under supervision of the faculty. Primary outcome was the success rate of the surgery which was defined as intraocular pressure (IOP) < 18 mmHg & > 5mmHg or IOP reduction > 25% from baseline, with or without additional IOP lowering eye drops. Failure was defined as IOP > 21 mmHg, additional glaucoma surgery, surgical revision/bleb needling (more than twice) after at least two consecutive visits. Secondary outcome of the study was to evaluate the intraoperative, early postoperative (less than six weeks postoperatively) and late postoperative (six weeks or more postoperatively) complications related to the surgery. Results: A total of 52 eyes of 49 patients were analyzed in the study. Mean follow-up time was 11.31 + 1.69 months, 65.4% (32) were males and 53.8% (28) were the left eyes. Mean preoperative IOP lowered from 27.33 + 10.15 to 16.98 + 3.79 mmHg (p < 0.001) and mean number of IOP lowering medications dropped from 3.4 + 0.82 to 0.37 + 0.72 (p < 0.001). Kaplan-Meier analysis showed cumulative success rate of 80.8% at one year follow-up. Conclusions: Trabeculectomy surgery by GF has good success rate at end of first year and have overall same complications rates as found in the literature.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com