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Incidence of 'wipe-out' after subscleral trabeculectomy in advanced glaucoma patients

Poster Details

First Author: H.Elsaied EGYPT

Co Author(s):    A. Abd El Rahman   R. Allam   M. Hamed              

Abstract Details

Purpose:

To evaluate safety of surgery in advanced glaucoma patients of Egyptian population, and to detect the incidence of postoperative wipe-out syndrome.

Setting:

To evaluate safety of surgery in advanced glaucoma patients of Egyptian population, and to detect the incidence of postoperative wipe-out syndrome. Kasr Alaini Hospitals (Cairo university hospitals) Ophthalmology department

Methods:

36 eyes (33 patients) with advanced glaucoma were included in the study. 6 patients underwent deep sclerectomy, 9 patients underwent phacotrabeculectomy and 21 patients underwent subscleral trabeculectomy. The patients were followed up for 3 months during which IOP, BCVA, slit lamp, fundus examination andperimetry were done.

Results:

36 eyes (33 patients) with advanced glaucoma were included in the study. 6 patients underwent deep sclerectomy, 9 patients underwent phacotrabeculectomy and 21 patients underwent subscleral trabeculectomy. The patients were followed up for 3 months during which IOP, BCVA, slit lamp, fundus examination andperimetry were done.

Conclusions:

Wipe out phenomenon is not an ultimate outcome for glaucoma filtering surgery in patients with advanced glaucoma. Unexplained visual decline can occur due to apoptotic insult that would have affected vision regardless surgical intervention.

Financial Disclosure:

NONE

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