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Titolo:
Long term results of glaucoma surgery among participants in an East African population survey
Autore:
Quigley, HA; Buhrmann, RR; West, SK; Isseme, I; Scudder, M; Oliva, MS;
Indirizzi:
Johns Hopkins Univ, Sch Med, Wilmer Ophthalmol Inst, Dana Ctr Prevent Ophthalmol, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 halmol, Baltimore, MD 21205 USA
Titolo Testata:
BRITISH JOURNAL OF OPHTHALMOLOGY
fascicolo: 8, volume: 84, anno: 2000,
pagine: 860 - 864
SICI:
0007-1161(200008)84:8<860:LTROGS>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPEN-ANGLE GLAUCOMA; PRIMARY TRABECULECTOMY; ADJUNCTIVE MITOMYCIN; PREVALENCE; PEOPLE; BLACKS; RISK; EYE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Quigley, HA Johns Hopkins Hosp, 600 N Wolfe St, Baltimore, MD 21287 USA Johns Hopkins Hosp 600 N Wolfe St Baltimore MD USA 21287 7 USA
Citazione:
H.A. Quigley et al., "Long term results of glaucoma surgery among participants in an East African population survey", BR J OPHTH, 84(8), 2000, pp. 860-864

Abstract

Aim-To evaluate the long term results of glaucoma surgery among people in East Africa. Methods-Participant in a population based survey of eye disease prevalencewere offered glaucoma surgery using standardised criteria. Either surgicaliridectomy or trabeculectomy was carried out as indicated by a medical officer or by one of two ophthalmologists. Trabeculectomy methods included releasable sutures and mitomycin C in the majority of eyes. Subjects were examined during the first week and 2 months after surgery. Nearly 3 years later, re-examination was carried out in those who were still resident in the region. Results-Among 46 people who were offered iridectomy, trabeculectomy, or combined cataract extraction/lens implant/trabeculectomy, 21 people underwentsurgery (46%). Of the 21, 19 were reexamined at 3 years (90%), including 16/18 eyes after trabeculectomy. Among these, intraocular pressure (IOP) declined from 29.9 (SD 9.4) mm Hg to 14.7 (5.9) mm Hg, with 16 of 18 eyes (89%) achieving a reduction > 25%. Hypotony maculopathy, late bleb leak, and late endophthalmitis were not detected. Visually significant cataract developed in 5/15 re-examined eyes that underwent trabeculectomy alone (33%), possibly associated with preexisting cataract and diagnosis of angle closure glaucoma, but not with mitomycin C use. Conclusions-Nearly half of those with glaucoma among residents of rural African villages accepted the offer of surgical therapy. While technical success was achieved at satisfactory levels, the development of cataract must be considered an important issue for application of glaucoma surgical therapy programmes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 13:58:05