The development of cataract following trabeculectomy.
Clarke M P, Vernon S A, Sheldrick J H
AI Summary
This study found no evidence of visually significant cataract development six months after trabeculectomy in glaucoma patients, suggesting low early risk.
Abstract
Objective
To determine the risk of cataract development following trabeculectomy.
Design
A prospective follow-up study of patients seen pre-operatively and at one, three, six and 12 months following surgery and subsequently at yearly intervals.
Setting
Ophthalmology Department of Nottingham University Hospital.
Patients: Fifty-seven patients with primary open angle glaucoma, including pseudoexfoliation, undergoing trabeculectomy.
Main outcome measures
Increases in lens opacity measured by the Lens Opacity Meter 701, the Keeler Projectoscopy and clinical grading.
Results
Of 35 patients seen at six months post-operatively, none had lost two Snellen lines of visual acuity due to lens opacity, although three patients showed evidence of increasing lens opacity on all three parameters.
Conclusion
There is no evidence of visually significant lens opacity occurring at six months post-operative follow-up.
MeSH Terms
Shields Classification
Related Articles5
Cataract formation after initial trabeculectomy in young patients.
Case SeriesPrimary glaucoma triple procedure with or without adjunctive mitomycin. Prognostic factors for filtration failure.
Randomized Controlled TrialLifelong experience of modified osteo-odonto-keratoprosthesis implantation over 50 years.
Cohort StudyAqueous Shunts with Extraocular Reservoir for Open-Angle Adult Glaucoma: A Report by the American Academy of Ophthalmology.
Systematic ReviewOutcomes of Trabeculectomy and Predictors of Success in Patients of African Ancestry With Primary Open Angle Glaucoma.
Case-Control StudyIs this article assigned to the wrong chapter(s)? Let us know.