Short-Term Complications and Associated Factors After Primary Trabeculectomy- A Clinical Study

Abstract

Introduction: To assess short term complications and associated risk factors after trabeculectomy. Methods: 88 consecutive glaucoma patients in age ranged 10-16 years who underwent primary trabeculectomy or combined phacotrabeculectomy of either gender was included in the study. Primary trabeculectomy with mitomycin C (MMC) using fornix?based conjunctival flap technique was performed. Surgical complications during the first 3 months of follow?up were recorded. Results: There were 50 males and 38 females. Underlying diseases were diabetes mellitus in 12, hypertension in 17 and dyslipidaemia in 10 cases. Diagnosis was POAG in 20, POCG in 35, uveitic glaucoma in 15 and NVG in 18 cases. BCVA (logMAR) was 1.2 and IOP was 27.4 mm Hg. Common complications were subconjunctival hemorrhage in 2, hypotony in 1, Hypotony with serous choroidal detachment in 4, encapsulated bleb in 3 and bleb leak in 1. A significant difference was observed (P< 0.05). Conclusion: Hypotony with serous choroidal detachment was most common complication seen in patients undergoing trabeculectomy.