Complications of Trabeculectomy

Year 2015, Volume: 16 Issue: 3, 114 - 123, 01.12.2015

Tolga Kocatürk Sinan Bekmez Harun Çakmak Volkan Dayanır

Abstract

Glaucoma is a chronic ischemic optic neuropathy characterized by an optic atrophy and progressive visual field loss. High intraocular pressure (IOP) is one of the most important risk factors. The aim of the treatment is to reduce IOP. IOP lowering therapy methods are divided into three groups as medical therapy, laser therapy and surgical treatment. Penetrating glaucoma surgery is applied against uncontrolled high IOP despite the maximum tolerated medical therapy or after a failed laser trabeculoplasty. The main reason for the delay in conventional trabeculectomy is the risk of postoperative complications associated with high failure rate especially in high risk groups. Nevertheless, more secure and successful surgery is made with new advancements. Today, trabeculectomy remains the gold standard in the surgical treatment of glaucoma and is performed widely in our country and all around the world to decrease IOP in refractory glaucoma. In this review, the clinical characteristics and treatment options for complications after trabeculectomy are discussed according to recent literature.

Keywords

Glaucoma, trabeculectomy, complications of trabeculectomy

Trabekülektomi Komplikasyonları

Abstract

Glokom, ilerleyici optik atrofi ve görme alanı kaybı ile karakterize, kronik iskemik
optik nöropatidir. Yüksek göz içi basıncı (GİB) en önemli risk faktörlerinden biridir.
Tedavide GİB’i düşürmek amaçlanır. GİB’i düşürmeye yönelik tedavi yöntemleri;
medikal tedavi, lazer tedavisi ve cerrahi tedavi olarak üç gruba ayrılır. Penetran glokom
cerrahisi, maksimum tolere edilebilen medikal tedaviye rağmen kontrolsuz yüksek
GİB olması nedeniyle ya da başarısız lazer trabeküloplasti sonrası uygulanmaktadır.
Cerrahiyi geciktirmenin ana sebebi özellikle yüksek risk grubunda görülen yüksek
başarısızlık oranları ile ilişkili postoperatif komplikasyon riskidir. Buna rağmen yeni
gelişmeler ile daha güvenli ve başarılı cerrahiler yapılmaktadır. Trabekülektomi,
günümüzde glokomun cerrahi tedavisinde altın standart olma özelliğini korumakta
ve GİB’i azaltmak için ülkemizde ve tüm dünyada yaygın olarak uygulanmaktadır.
Bu derlemede, trabekülektomi sonrası görülen komplikasyonların, klinik özellikleri
ve tedavi seçenekleri güncel literatüre göre tartışılmıştır.

Keywords

Glokom, trabekülektomi, trabekülektomi komplikasyonları

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