04-12-2008

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ISSN: 1300-0365
Dil: Türkçe

 

ORIGINAL RESEARCH ARTICLES


The Effect Of Trabeculectomy On Cataract Formation In Open-angle Glaucoma Cases

Dr. Ufuk ELGİN,a Dr. Aygen BATMAN,a Dr. Orhan ZİLELİOĞLUa
aII. Göz Kliniği, Ankara Ulucanlar Göz Eğitim Hastanesi, ANKARA



Objective: To compare the risk of cataract formation between eyes with open-angle glaucoma undergoing trabeculectomy and the fellow eyes.
Material and Methods: 46 eyes of 46 cases (mean age, 58.8 ± 4.4 years; range, 46-65 years) with initial trabeculectomy in one of their eyes were included to our prospective study and followed-up at least 24 months (mean, 33.8 ± 9.7 months; range, 24-58 months) after the operation. Clarity of the lenses was defined as clear lens-mild cataract or significant cataract and compared in both groups before surgery, at 6th month, at the 1st year and at annual visits after trabeculectomy statistically by Chi-Square and Fisher’s Chi-Square test.
Results: No significant cataract was observed in the operated and non-operated eyes before trabeculectomy. At the postoperative 6th month, 1 significant cataract was observed in the operated eyes and no significant difference was detected between both groups (p= 0.073). At the postoperative 1st year, significant cataract was observed in 8 of the operated eyes and in 2 of the fellow eyes and this difference was statistically significant (p= 0.044). At the postoperative 2nd year and later, significant cataract was observed in 11 of the operated eyes and in 4 of the fellow eyes and this difference was statistically significant (p= 0.048).
Conclusion: The risk of cataract formation in the operated eyes was found to be higher than nonoperated eyes beginning from the postoperative 6th month.


Keywords: Glaucoma, cataract, trabeculectomy

Turkiye Klinikleri J Ophthalmol 2006, 15:35-39

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