Predictive value of early postoperative IOP and bleb
ثبت نشده
چکیده
To determine the predictive value of postoperative bleb Background morphological features and intraocular pressure (IOP) on the success rate of trabeculectomy. : In this prospective interventional case series, we analyzed for one Methods year 80 consecutive primary open angle glaucoma patients who underwent mitomycin-augmented trabeculectomy. Bleb morphology was scored using the Indiana bleb appearance grading scale (IBAGS). Success was defined as IOP ≤15 mmHg at 12 months. We applied a multivariable regression analysis and determined the area under the receiver operating characteristic curve (AUC). : The mean age of participants was 62±12.3 years in the success and Results 63.2±16.3 years in the failure group (P= 0.430) with equal gender distribution (P=0.911). IOPs on day 1, 7 and 30 were similar in both (P= 0.193, 0.639, and 0.238, respectively.) The AUC of IOP at day 1, day 7 and 30 for predicting a successful outcome was 0.355, 0.452, and 0.80, respectively. The AUC for bleb morphology parameters of bleb height, extension, and vascularization, on day 14 were 0.368, 0.408, and 0.549, respectively. Values for day 30 were 0.428, 0.563, and 0.654. IOP change from day 1 to day 30 was a good predictor of failure (AUC=0.838, 95% CI: 0.704 to 0.971) with a change of more than 3 mmHg predicting failure with a sensitivity of 82.5% (95% CI: 68 to 91%) and a specificity of 87.5% (95% CI: 53 to 98%). : IOP on day 30 had a fair to good accuracy while bleb features Conclusions failed to predict success except bleb vascularity that had a poor to fair accuracy. An IOP increase more than 3 mmHg during the first 30 days was a good predictor of failure. 1,2 3 2
منابع مشابه
Predictive value of early postoperative IOP and bleb morphology
Our aim was to determine the predictive value of postoperative Background bleb morphological features and intraocular pressure (IOP) on the success rate of trabeculectomy. : In this prospective interventional case series, we analyzed for one Methods year 80 consecutive primary open angle glaucoma patients who underwent mitomycin-augmented trabeculectomy. Bleb morphology was scored using the Ind...
متن کاملPredictive value of early postoperative IOP and bleb morphology
Our aim was to determine the predictive value of postoperative Background bleb morphological features and intraocular pressure (IOP) on the success rate of trabeculectomy. : In this prospective interventional case series, we analyzed for one Methods year 80 consecutive primary open angle glaucoma patients who underwent mitomycin-augmented trabeculectomy. Bleb morphology was scored using the Ind...
متن کاملPredictive value of early postoperative IOP and bleb morphology
Our aim was to determine the predictive value of postoperative Background bleb morphological features and intraocular pressure (IOP) on the success rate of trabeculectomy. : In this prospective interventional case series, we analyzed for one Methods year 80 consecutive primary open angle glaucoma patients who underwent mitomycin-augmented trabeculectomy. Bleb morphology was scored using the Ind...
متن کاملPredictive value of early postoperative IOP and bleb morphology in Mitomycin-C augmented trabeculectomy
Background: Our aim was to determine the predictive value of postoperative bleb morphological features and intraocular pressure (IOP) on the success rate of trabeculectomy. Methods: In this prospective interventional case series, we analyzed for one year 80 consecutive primary open angle glaucoma patients who underwent mitomycin-augmented trabeculectomy. Bleb morphology was scored using the Ind...
متن کاملTrabeculectomy function after cataract extraction.
OBJECTIVE To examine the effect of cataract extraction (CE) after trabeculectomy on intraocular pressure (IOP) control. DESIGN Retrospective noncomparative case series. PARTICIPANTS A total of 115 consecutive patients who underwent extracapsular CE (N = 58) or phacoemulsification (N = 57) with intraocular lens (IOL) placement after trabeculectomy were studied. INTERVENTION Cataract extrac...
متن کامل