Observational studyIndian journal of ophthalmology2016
Incidence of short-term complications and associated factors after primary trabeculectomy in Chiang Mai University Hospital.
Observational study in Indian journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 14 citations in OpenAlex.
- Outcomes of Trabeculectomy and Predictors of Success in Patients of African Ancestry With Primary Open Angle Glaucoma.Journal of glaucoma · 2025Article
- Comparison of Two Tube-Modification Techniques in Baerveldt Glaucoma Implantation in Refractory Glaucoma.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- Effect of trabeculectomy on ocular higher-order aberrations in patients with open angle glaucoma.Northern clinics of Istanbul · 2018Article
- One-Year Results of Stab Incision Glaucoma Surgery and Radiofrequency-Assisted Stab Incision in Management of Open-Angle Glaucoma.Middle East African journal of ophthalmologyArticle
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4 authors at 1 institution in 1 country.
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Abstract
backgroundTo determine the incidence of early postoperative complications and associated factors after primary trabeculectomy in Thai glaucoma patients.
designThis was a retrospective observational study performed in Chiang Mai University Hospital.
participantsOne hundred and eighteen glaucoma patients participated in the study.
methodsAll glaucoma patients underwent primary trabeculectomy with mitomycin C (MMC) using fornix-based conjunctival flap technique between December 2011 and May 2013. Surgical complications during the first 3 months of follow-up were recorded, and associated risk factors were analyzed.
main outcome measuresThe incidence of posttrabeculectomy complications was the main outcome measure.
resultsOne hundred and eighteen eyes of 118 patients were included. Early postoperative complications developed in 55 eyes (56.7%). Complications included hypotony (25 eyes, 27.2%), serous choroidal detachment (CD) (14 eyes, 15.6%), subconjunctival hemorrhage (12 eyes, 13.0%), hyphema (11 eyes, 12.4%), bleb leak (8 eyes, 8.8%), encapsulated bleb (2 eyes, 2.2%), aqueous misdirection (1 eyes, 1.1%), corneal epithelial defect (1 eyes, 1.1%), and overfiltration (1 eyes, 1.1%). There were no reported cases of endophthalmitis or blebitis. Hypotony was associated with serous CD (P = 0.006), and hyphema was associated with neovascular glaucoma (NVG) patients (P = 0.009). NVG was not associated with the increased rate of surgical failure (P = 0.083).
conclusionsThe incidence of early complications after first-time trabeculectomy with MMC was high (56.7%) in this Thai clinic setting, but most were transient and self-limited conditions. The correlations between hypotony and CD as well as hyphema and NVG were compatible with the previous studies.
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