J Suharwardy1, P Baranyovits. 1. University Department of Ophthalmology, Manchester Royal Eye Hospital, UK.
Abstract
PURPOSE: The purpose of the study was to assess the value of perioperative intraocular pressure (IOP) measurement in trabeculectomy as a predictor of drainage and related complications in the early post-operative period. METHODS: A prospective study was undertaken of 42 eyes (39 patients) followed up after trabeculectomy for the first post-operative month. RESULTS: Analysis of the change in IOP in the first post-operative month showed that at 1 month the pressure in all cases tended to similar values irrespective of the mean perioperative IOP. Early shallowing of the anterior chamber was, however, associated with a significantly lower perioperative IOP, although there was no significant difference in IOP at 1 month in these cases. CONCLUSIONS: The perioperative IOP appears to be effective in predicting anterior chamber shallowing in the first post-operative month with good sensitivity and specificity, but has little value as a predictor of the IOP at 1 month.
PURPOSE: The purpose of the study was to assess the value of perioperative intraocular pressure (IOP) measurement in trabeculectomy as a predictor of drainage and related complications in the early post-operative period. METHODS: A prospective study was undertaken of 42 eyes (39 patients) followed up after trabeculectomy for the first post-operative month. RESULTS: Analysis of the change in IOP in the first post-operative month showed that at 1 month the pressure in all cases tended to similar values irrespective of the mean perioperative IOP. Early shallowing of the anterior chamber was, however, associated with a significantly lower perioperative IOP, although there was no significant difference in IOP at 1 month in these cases. CONCLUSIONS: The perioperative IOP appears to be effective in predicting anterior chamber shallowing in the first post-operative month with good sensitivity and specificity, but has little value as a predictor of the IOP at 1 month.