AIMS To compare outcomes of resident-performed Ahmed valve surgery vs trabeculectomy in a Veteran Affairs medical facility. MATERIALS AND METHODS A retrospective cohort of 103 eyes in 91 patients receiving Ahmed valve (valve) or trabeculectomy (trab) performed at a Veterans Administration Medical Center by residents in their third year of training. The primary outcomes included intraocular pr...

BACKGROUND Several retinal ischemic diseases can cause neovascular glaucoma (NVG). Trabeculectomy with mitomycin C (MMC) is a relatively better treatment modality in the management of eyes with NVG than other glaucoma surgeries. The aim of this study was to investigate the factors that may influence the outcome of trabeculectomy with MMC for NVG. METHODS Forty-nine NVG eyes from 43 patients (...

Glaucoma is the second leading cause of blindness in the general population. The definition of end-stage glaucoma may be based on a very constricted visual field, or a markedly severed visual acuity (Gillies& Brooks et al., 2000). Many factors have been postulated to put the patient at a high risk. Achieving an individually fashioned target IOP is supposed to minimize the risk of glaucoma progr...

AIMS To determine if post-trabeculectomy patching reduces the prevalence of shallow/flat anterior chambers and pain. METHODS 435 eyes were prospectively randomised to either a double patch with tape or no patch with tape group. RESULTS There was no statistically significant difference in flat or shallow anterior chamber rates or pain symptoms between the patch and no patch groups. CONCLUS...

Comment. Althoughhyphema isone of the most common early postoperative complications following trabeculectomy, to our knowledge, intralenticular collection of blood has not been previously reported. Because of the use of an operating microscope and the refinement of surgical techniques, lens injury during trabeculectomy has been infrequently reported. We hypothesized that there had been anterior...

Forty-six eyes with chronic open-angle glaucoma (COAG) and 24 eyes which had previously undergone trabeculectomy for COAG were studied and the postural response of the intraocular pressure compared with that of 70 normal eyes. In all three groups the greatest rise in intraocular pressure (IOP) occurred when the subject changed from the sitting to the lying position. In the control group this wa...