Trends In Glaucoma Surgery In A Tertiary Hospital In Spain: 2010-2022
Published 2025 - 43rd Congress of the ESCRS
Reference: FP08.01 | Type: Free paper | DOI: 10.82333/qs3b-ad77
Authors: Issac Levy* 1 , Ritika Mukhija 1 , Graham Freeman 2 , Michael Horler 2 , Dimitra Gkika 2 , Paul Frattaroli 2 , Chris Jones 3 , Mayank Nanavaty 1
1University Hospitals Sussex NHS Foundation Trust,Sussex Eye Hospital ,Brighton,United Kingdom;University of Sussex,Brighton & Sussex Medical School,Falmer, Brighton,United Kingdom, 2University Hospitals Sussex NHS Foundation Trust,Sussex Eye Hospital ,Brighton,United Kingdom, 3University of Sussex,Brighton & Sussex Medical School,Falmer, Brighton,United Kingdom
Purpose
To analyze the trends in glaucoma surgeries performed over a 13-year period at a tertiary hospital affiliated with the Spanish National Health System, assessing temporal changes in surgical approaches.
Setting
A tertiary hospital in Spain, part of the National Health System, where glaucoma surgeries were performed between 2010 and 2022.
Methods
This retrospective observational study scrutinized surgeries undertaken in the glaucoma unit of a tertiary center in Spain between 2010 and 2022. Data collected included surgical dates, procedure performed, whether it was standalone or combined, as well as patient demographics including age, sex, and type of underlying glaucoma. Surgeries on individuals under 18 years of age were excluded. An annual comparative analysis was performed to ascertain the evolving trends in glaucoma surgical interventions.
Results
A total of 12944 surgeries were included in the analysis, comprising 9428 isolated cataract surgeries and 2975 glaucoma procedures. Trabeculectomy, glaucoma drainage devices (GDD), and cyclodestruction, collectively referred to as traditional surgery, demonstrated a decline from 93.2% to 23.6% over the study duration. Minimally invasive glaucoma surgery (MIGS) and minimally invasive bleb surgery (MIBS) demonstrated a significant increase from 3.8% in 2010 to 74.7% in 2022, relative to the total glaucoma surgeries. Furthermore, combined surgeries manifested a noteworthy increase from 39.0% in 2010 to 44.2% in 2022, with 86.4% of combined procedures in 2022 being MIGS or MIBS.
Conclusions
In recent years, there has been a noticeable change in the trend of glaucoma surgeries, with MIGS and MIBS procedures experiencing a significant increase and becoming the most commonly performed glaucoma procedures. Consequently, traditional glaucoma surgeries have decreased in frequency.