TY - JOUR AU - Mengal, Mahtab AU - khan, M Afzal AU - khan, Aimal AU - Ahmed, Manzoor AU - Chaudhry, Rabia khawar AU - Khan, Nasar Qamar PY - 2020/05/04 Y2 - 2024/03/28 TI - Trabeculectomy in Congenital Glaucoma; Experience in Helpers Eye Hospital Quetta: Doi: 10.36351/pjo.v36i3.1043 JF - Pakistan Journal of Ophthalmology JA - pak J Ophthalmol VL - 36 IS - 3 SE - Original Articles DO - 10.36351/pjo.v36i3.1043 UR - https://www.pjo.org.pk/index.php/pjo/article/view/1043 SP - AB - <p>Purpose: To evaluate outcomes of trabeculectomy in terms of IOP control and its safety in terms of peroperative<br>and post-operative complications in Primary Congenital Glaucoma.<br>Study Design: Interventional Case-Series.<br>Place and Duration of Study: Helpers Eye Hospital, Quetta, from June 2017 to December 2018.<br>Material and Methods: Thirty eyes of 17 patients were included in this case series after diagnosis of primary<br>congenital glaucoma. Patients with secondary congenital glaucoma due to trauma, surgery, inflammation, Sturge<br>Weber Syndrome, Neurofibromatosis, cataract, uveitis, aphakia and pseudophakia were excluded from the study.<br>Informed consent was taken from parents. Examination under anesthesia was done before surgery to record<br>preoperative IOP, corneal diameter and anterior and posterior segment abnormalities. Primary trabeculectomy<br>was done. Post-operative IOP and corneal diameter was recorded at 1st, 3rd and 6th month and every 6 months<br>thereafter under general anesthesia. IOP at 12th month of surgery was the final outcome which was considered<br>significant if IOP was less than 21 mm Hg with stable corneal diameters.<br>Results: Mean preoperative IOP was 25.8 mm Hg. Twenty-three (76.66%) eyes out of 30 eyes were considered<br>successful with mean IOP of 15.3 mm Hg at last follow-up while 7 (23.33%) cases of failure were observed with<br>postoperative mean IOP of 27.71 mm Hg. These patients underwent additional surgeries to control IOP.<br>Hyphema was the only complication observed in this study. Postoperative cataract developed in 5 eyes.<br>Conclusion: Primary trabeculectomy is an effective operation and safe surgery for primary congenital glaucoma</p> ER -