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Vojnosanitetski pregled
2019, vol. 76, br. 8, str. 822-829
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP161228178M

Creative Commons License 4.0
Kontrola intraokularnog pritiska kod bolesnika sa primarnim glaukomom otvorenog ugla i pseudoeksfolijativnim glaukomom tokom perioda od 3 do 5 godina nakon trabekulektomije
aClinical Center of Serbia, Clinic for Eye Diseases, Belgrade + University of Belgrade, Faculty of Medicine, Belgrade
bUniverzitet u Beogradu, Medicinski fakultet

e-adresa: vesbabic@sezampro.rs

Sažetak

Uvod/Cilj. Trabekulektomija je sigurna procedura efikasnog snižavanja intraokularnog pritiska (IOP). IOP se uzima kao najčešće merilo uspeha nakon operacije glaukoma. Cilj rada je bio da se ispita dugoročan ishod nakon primarne trabekulektomije bez korišćenja antimetabolita uzimajući u obzir IOP kod bolesnika sa primarnim glaukomom otvorenog ugla i pseudoeksfolijativnim glaukomom u periodu od 3-5 godina nakon trabekulektomije. Metode. U studiji je retrospektivno praćeno 332 bolesnika (352 očiju), 174 bolesnika (188 očiju) sa primarnim glaukomom otvorenog ugla (prosečne starosti 64,0 ± 8,6 godina) i 158 bolesnika (164 očiju) sa pseudoeksfolijativnim glaukomom (prosečne starosti 70,7 ± 8,9 godina) kojima je izvršena trabekulektomija u periodu od januara 2007. do decembra 2009. godine na Odeljenju za glaukom Klinike za očne bolesti u Beogradu. Uspešna kontrola IOP je definisana postizanjem IOP manjim ili jednakim 21 mmHg, bez medikamentne antiglaukomne terapije (kompletan uspeh), ili sa jednom vrstom lokalne terapije (delimičan uspeh). Rezultati. Kod bolesnika sa primarnim glaukomom otvorenog ugla i sa pseudoeksfolijativnim glaukomom preoperativni IOP je bio 28,4 ± 6,3/30,4 ± 8,4 mmHg (p = 0,311), a postoperativni IOP 16,9 ± 5,2/18,7 ± 5,9 mmHg (p = 0,681). Na osnovu Kaplan-Meier-ove krive preživljavanja, kompletan uspeh kod bolesnika sa primarnim glaukomom otvorenog ugla nakon 1, 3 i 5 godina 85%, 75% i 58% s kod bolesnika sa pseudoeksfolijativnim glaukomom bio je 82%, 70% i 56%. Među posmatranim grupama nije bilo statistički značajne razlike. Zaključak. Primarni cilj operacije bio je postizanje dovoljno niskog intraokularnog pritiska bez dodatne terapije čime bi se sprečila progresija glaukomnog oštećenja. U našoj studiji kompletan uspeh u grupi bolesnika sa primarnim glaukomom otvorenog ugla postignut je u 75% i 58% bolesnika nakon 3, odnosno pet godina, dok je u grupi bolesnika sa pseudoeksfolijativnim glaukomom kompletan uspeh postignut u 70% i 56% bolesnika.

Ključne reči

Reference

Novododat članak: provera, normiranje i linkovanje referenci u toku.
Buys YM, Chipman ML, Zack B, Rootman DS, Slomovic AR, Trope GE. Prospective randomized comparison of one-versus twosite Phacotrabeculectomy two-year results. Ophthalmology 2008; 115(7): 1130-3.e1
Shaarawy T, Flammer J, Haefliger IO. Reducing intraocular pressure: Is surgery better than drugs?. Eye (Lond) 2004; 18(12): 1215-24
Chen G, Li W, Jiang F, Mao S, Tong Y. Ex-PRESS Implantation versus Trabeculectomy in Open-Angle Glaucoma: A Meta-Analysis of Randomized Controlled Clinical Trials. PLoS One 2014; 9(1): e86045
Cairns JE. Trabeculectomy. Preliminary report of a new method. Am J Ophthalmol 1968; 66(4): 673-9
Rao K, Ahmed I, Blake DA, Ayyala RS. New devices in glaucoma surgery. Expert Revi Ophthalmol 2009; 4(5): 491-504
He M, Wang W, Zhang X, Huang W. Ologen implant versus Mitomycin C for trabeculectomy: A Systematic Review and Meta-Analysis. PLoS One 2014; 9(1): e85782
Fernández S, Pardiñas N, Laliena JL, Pablo L, Díaz S, Pérez S, et al. Long-term tensional results after trabeculectomy. A comparative study among types of glaucoma and previous medical treatment. Arch Soc Esp Oftalmol 2009; 84(7): 345-51. (Spanish)
Landers J, Martin K, Sarkies N, Bourne R, Watson P. A twenty-year follow-up study of trabeculectomy: Risk factors and outcomes. Ophthalmology 2012; 119(4): 694-702
Bevin TH, Molteno AC, Herbison P. Otago Glaucoma Surgery Outcome Study: Long-term results of 841 trabeculectomies. Clin Experiment Ophthalmol 2008; 36(8): 731-7
Jordan JF, Wecker T, Oterendorp C, Anton A, Reinhard T, Boehringer D,et al. Trabectome surgery for primary and secondary open angle glaucomas. Graefes Arch Clin Exp Ophthalmol 2013; 251(12): 2753-60
Parc CE, Johnson DH, Oliver JE, Hattenhauer MG, Hodge DO. The long-term outcome of glaucoma filtration surgery. Am J Ophthalmol 2001; 132(1): 27-35
Mills KB. Trabeculectomy: A retrospective long-term follow-up of 444 cases. Br J Ophthalmol 1981; 65(11): 790-5
Watson PG, Grierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology 1981; 88(3): 175-96
Nouri-Mahdavi K, Brigatti L, Weitzman M, Caprioli J. Outcomes of trabeculectomy for primary open-angle glaucoma. Ophthalmology 1995; 102(12): 1760-9
Khalili MA, Diestelhorst M, Krieglstein GK. Long-term follow-up of 700 trabeculectomies. Klin Monbl Augenheilkd 2000; 217(1): 1-8; discussion 9. (German)
Ehrnrooth P, Lehto I, Puska P, Laatikainen L. Long-term outcome of trabeculectomy in terms of intraocular pressure. Acta Ophthalmol Scand 2002; 80(3): 267-71
European Glaucoma Society. Terminology and guidelines for glaucoma. 3rd ed. Italy, Savona: Editrice DOGMA; 2008. p. 155-6
Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 2006; 90(3): 262-7
Razeghinejad MR, Fudemberg SJ, Spaeth GL. The changing conceptual basis of trabeculectomy: A review of past and current surgical techniques. Surv Ophthalmol 2012; 57(1): 1-25
Musch DC, Gillespie BW, Niziol LM, Lichter PR, Varma R. CIGTS Study Group. Intraocular pressure control and longterm visual field loss in Collaborative Initial Glaucoma Treatment Study. Ophthalmology 2011; 118(9): 1766-73
Cvetkovic D, Blagojevic M, Dodic V. Experience with trepanotrabeculectomy. ActaOphthalmol (Copenh) 1978; 56(1):150-60
Palmberg P. How clinical trial results are changing our thinking about target pressures. Curr Opin Ophthalmol 2002; 13(2): 85-8
Molteno AC, Bevin TH, Herbison P, Husni MA. Long-term results of primary trabeculectomies and Molteno implants for primary open-angle glaucoma. Arch Ophthalmol 2011; 129(11): 1444-50
Edmunds B, Thompson JR, Salmon JF, Wormald RP. The National Survey of Trabeculectomy. II. Variations in operative technique and outcome. Eye (Lond) 2001; 15(Pt 4): 441-8
Law SK, Shih K, Tran DH, Coleman AL, Caprioli J. Long-term outcomes of repeat vs initial trabeculectomy in open-angle glaucoma. Am J Ophthalmol 2009; 148(5): 685-95. e1
Casson R, Rahman R, Salmon JF. Long term results and complications of trabeculectomy augmented with low dose mitomycin C in patients at risk for filtration failure. Br J Ophthalmol 2001; 85(6): 686-8
Diestelhorst M, Khalili MA, Krieglstein GK.Trabeculectomy: A retrospective follow-up of 700 eyes. Int Ophthalmol 1998-1999; 22(4): 211-20
Molteno AC, Bosma NJ, Kittelson JM. Otago glaucoma surgery outcome study: Long-term results of trabeculectomy: 1976 to 1995. Ophthalmology 1999; 106(9): 1742-50
Tornqvist G, Drolsum LK. Trabeculectomies: A long-term study. Acta Ophthalmol (Copenh) 1991; 69(4): 450-4
Popovic V, Sjöstrand J. Long term outcome following trabeculectomy: I Retrospective analysis of intraocular pressure regulation and cataract formation. Acta Ophthalmol (Copenh) 1991; 69(3): 299-304
Watson PG, Jakeman C, Ozturk M, Barnett MF, Barnett F, Khaw KT. The complications of trabeculectomy: A 20-year followup. Eye 1990; 4(Pt 3): 425-38
Edmunds B, Thompson JR, Salmon JF, Wormald RP. The National Survey of Trabeculectomy. III. Early and late complications. Eye (Lond) 2002; 16(3): 297-303
Serguhn S, Spiegel D. Comparison of postoperative recovery after trabeculectomy for pseudoexfoliation glaucoma and chronic primary open angle glaucoma. Klin Monbl Augenheilkd 1999; 215(5): 281-6. (German)
Mietz H, Raschka B, Krieglstein GK. Risk factors for failures of trabeculectomies performed without antimetabolites. Br J Ophthalmol 1999; 83(7): 814-21