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Transactions of the American Ophthalmological Society logoLink to Transactions of the American Ophthalmological Society
. 1984;82:282–301.

Glaucoma filtering surgery factors that determine pressure control.

R Z Levene
PMCID: PMC1298668  PMID: 6535327

Abstract

Factors that determine pressure control after filtering surgery were studied in 194 eyes of 158 patients in a retrospective study. Emphasis was placed on the cumulative probability method of Kaplan and Meier and multiple regression analysis. Aphakic and the presence of a surgical bleb were the most important factors. Age and type of surgical procedure were next. Race and race-sex interaction were the least important factors. The above factors accounted for only 6% to 16% of the total variance. The difference between eyes of the same patient was less than that between paired eyes of different patients but the former was surprisingly high. In the selected group of successful cases without medication the postoperative pressure was independent of the baseline pressure and choice of surgical procedure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abedin S., Simmons R. J., Grant W. M. Progressive low-tension glaucoma: treatment to stop glaucomatous cupping and field loss when these progress despite normal intraocular pressure. Ophthalmology. 1982 Jan;89(1):1–6. [PubMed] [Google Scholar]
  2. Anwar M. Modifications of Scheie's operation. Br J Ophthalmol. 1970 Apr;54(4):269–272. doi: 10.1136/bjo.54.4.269. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bakker N. J., Manku S. I. Trabeculectomy versus Scheie's operation: a comparative retrospective study in open-angle glaucoma in Kenyans. Br J Ophthalmol. 1979 Sep;63(9):643–645. doi: 10.1136/bjo.63.9.643. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Beauchamp G. R., Parks M. M. Filtering surgery in children: barriers to success. Ophthalmology. 1979 Jan;86(1):170–180. doi: 10.1016/s0161-6420(79)35547-6. [DOI] [PubMed] [Google Scholar]
  5. BenEzra D., Chirambo M. C. Trabeculectomy. Ann Ophthalmol. 1978 Aug;10(8):1101–1105. [PubMed] [Google Scholar]
  6. Blondeau P., Phelps C. D. Trabeculectomy vs thermosclerostomy. A randomized prospective clinical trial. Arch Ophthalmol. 1981 May;99(5):810–816. doi: 10.1001/archopht.1981.03930010810003. [DOI] [PubMed] [Google Scholar]
  7. Cairns J. E. Symposium: microsurgery of the outflow channels. Trabeculectomy. Trans Am Acad Ophthalmol Otolaryngol. 1972 Mar-Apr;76(2):384–388. [PubMed] [Google Scholar]
  8. Cher I. The faltering bleb. Trans Ophthalmol Soc Aust. 1966;25:39–48. [PubMed] [Google Scholar]
  9. D'Ermo F., Bonomi L., Doro D. A critical analysis of the long-term results of trabeculectomy. Am J Ophthalmol. 1979 Nov;88(5):829–835. doi: 10.1016/0002-9394(79)90559-2. [DOI] [PubMed] [Google Scholar]
  10. David R., Freedman J., Luntz M. H. Comparative study of Watson's and Cairns's trabeculectomies in a Black population with open angle glaucoma. Br J Ophthalmol. 1977 Feb;61(2):117–119. doi: 10.1136/bjo.61.2.117. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Drobec P. Der Einfluss der Blutgerinnung auf die Vernarbung des Sickerkissens nach Goniotrepanation. Klin Monbl Augenheilkd. 1980 Dec;177(6):739–741. doi: 10.1055/s-2008-1057717. [DOI] [PubMed] [Google Scholar]
  12. Duzanec Z., Krieglstein G. K. Die Beziehung zwischen Druckregulierung und anatomischer Lokalisation sowie Trepangrösse bei der Goniotrepanation. Eine prospektive Studie. Klin Monbl Augenheilkd. 1981 Jun;178(6):431–435. doi: 10.1055/s-2008-1057235. [DOI] [PubMed] [Google Scholar]
  13. Gorin G. Use of a thin conjunctival flap in limbosclerectomy. Ann Ophthalmol. 1971 Mar;3(3):258–263. [PubMed] [Google Scholar]
  14. Greve E. L., Dake C. L. Four year follow-up of a glaucoma operation. Prospective study of the double flap Scheie. Int Ophthalmol. 1979 Jul;1(3):139–145. doi: 10.1007/BF00137491. [DOI] [PubMed] [Google Scholar]
  15. Herschler J., Claflin A. J., Fiorentino G. The effect of aqueous humor on the growth of subconjunctival fibroblasts in tissue culture and its implications for glaucoma surgery. Am J Ophthalmol. 1980 Feb;89(2):245–249. doi: 10.1016/0002-9394(80)90118-x. [DOI] [PubMed] [Google Scholar]
  16. Herschler J. Medically uncontrolled glaucoma in the aphakic eye. Ann Ophthalmol. 1981 Aug;13(8):909–909. [PubMed] [Google Scholar]
  17. Inaba Z. Long-term results of trabeculectomy in the Japanese: an analysis by life-table method. Jpn J Ophthalmol. 1982;26(4):361–373. [PubMed] [Google Scholar]
  18. Jay J. L., Murray S. B. Characteristics of reduction of intraocular pressure after trabeculectomy. Br J Ophthalmol. 1980 Jun;64(6):432–435. doi: 10.1136/bjo.64.6.432. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Jerndal T., Lundström M. 330 trabeculectomies. A long time study (3-5 1/2 years). Acta Ophthalmol (Copenh) 1980 Dec;58(6):947–956. doi: 10.1111/j.1755-3768.1980.tb08321.x. [DOI] [PubMed] [Google Scholar]
  20. Merritt J. C. Filtering procedures in American blacks. Ophthalmic Surg. 1980 Feb;11(2):91–94. [PubMed] [Google Scholar]
  21. Migdal C., Hitchings R. Effect of antiprostaglandins on glaucoma filtration surgery. Trans Ophthalmol Soc U K. 1982 Apr;102(Pt 1):129–132. [PubMed] [Google Scholar]
  22. Miller R. D., Barber J. C. Trabeculectomy in black patients. Ophthalmic Surg. 1981 Jan;12(1):46–50. [PubMed] [Google Scholar]
  23. Mills K. B. Trabeculectomy: a retrospective long-term follow-up of 444 cases. Br J Ophthalmol. 1981 Nov;65(11):790–795. doi: 10.1136/bjo.65.11.790. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Murray S. B., Jay J. L. Trabeculectomy. Its role in the management of glaucoma. Trans Ophthalmol Soc U K. 1979;99(4):492–494. [PubMed] [Google Scholar]
  25. Pape L. G., Balazs E. A. The use of sodium hyaluronate (Healon) in human anterior segment surgery. Ophthalmology. 1980 Jul;87(7):699–705. doi: 10.1016/s0161-6420(80)35185-3. [DOI] [PubMed] [Google Scholar]
  26. Ridgway A. E., Rubinstein K., Smith V. H. Trabeculectomy. A study of 86 cases. Br J Ophthalmol. 1972 Jul;56(7):511–516. doi: 10.1136/bjo.56.7.511. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Rock W. J., Drance S. M., Morgan R. W. A modification of the Armaly visual field screening technique for glaucoma. Can J Ophthalmol. 1971 Oct;6(4):283–292. [PubMed] [Google Scholar]
  28. SUGAR H. S. CLINICAL EFFECT OF CORTICOSTEROIDS ON CONJUNCTIVAL FILTERING BLEBS; A CASE REPORT. Am J Ophthalmol. 1965 May;59:854–860. doi: 10.1016/0002-9394(65)93017-5. [DOI] [PubMed] [Google Scholar]
  29. Schwartz A. L., Anderson D. R. Trabecular surgery. Arch Ophthalmol. 1974 Aug;92(2):134–138. doi: 10.1001/archopht.1974.01010010140012. [DOI] [PubMed] [Google Scholar]
  30. Schwartz P. L., Ackerman J., Beards J., Wesseley Z., Goodstein S., Ballen P. H. Further experience with trabeculectomy. Ann Ophthalmol. 1976 Feb;8(2):207–217. [PubMed] [Google Scholar]
  31. Shaffer R. N. Symposium: microsurgery of the outflow channels. Conclusions. Trans Am Acad Ophthalmol Otolaryngol. 1972 Mar-Apr;76(2):411–411. [PubMed] [Google Scholar]
  32. Shin D. H. Trabeculectomy. Int Ophthalmol Clin. 1981 Spring;21(1):47–68. [PubMed] [Google Scholar]
  33. Shirato S., Kitazawa Y., Mishima S. A critical analysis of the trabeculectomy results by a prospective follow-up design. Jpn J Ophthalmol. 1982;26(4):468–480. [PubMed] [Google Scholar]
  34. Simmons R. J., Kimbrough R. L. Shell tamponade in filtering surgery for glaucoma. Ophthalmic Surg. 1979 Sep;10(9):17–34. [PubMed] [Google Scholar]
  35. Singh D., Singh M. Pretrabecular filtration for secondary glaucoma. Trans Ophthalmol Soc U K. 1978 Apr;98(1):89–92. [PubMed] [Google Scholar]
  36. Spaeth G. L. A prospective, controlled study to compare the Scheie procedure with Watson's trabeculectomy. Ophthalmic Surg. 1980 Oct;11(10):688–694. [PubMed] [Google Scholar]
  37. Stilma J. S. Subscleral trepanation in the treatment of glaucoma. Doc Ophthalmol. 1977 Sep 30;44(1):121–126. doi: 10.1007/BF00171463. [DOI] [PubMed] [Google Scholar]
  38. Sugar H. S. Results and complications of limbal trephination and subscleral trephination (trabeculectomy). Lasers Surg Med. 1981;1(3):221–227. doi: 10.1002/lsm.1900010305. [DOI] [PubMed] [Google Scholar]
  39. Sugar H. S. Surgical anatomy of glaucoma. Surv Ophthalmol. 1968 Nov;13(3):143–151. [PubMed] [Google Scholar]
  40. TENG C. C., CHI H. H., KATZIN H. M. Histology and mechanism of filtering operations. Am J Ophthalmol. 1959 Jan;47(1 Pt 1):16–33. doi: 10.1016/s0002-9394(14)78135-8. [DOI] [PubMed] [Google Scholar]
  41. Thommy C. P., Bhar I. S. Trabeculectomy in Nigerian patients with open-angle glaucoma. Br J Ophthalmol. 1979 Sep;63(9):636–642. doi: 10.1136/bjo.63.9.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Watkins P. H., Jr, Brubaker R. F. Comparison of partial-thickness and full-thickness filtration procedures in open-angle glaucoma. Am J Ophthalmol. 1978 Dec;86(6):756–761. doi: 10.1016/0002-9394(78)90117-4. [DOI] [PubMed] [Google Scholar]
  43. Watson P. G., Grierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology. 1981 Mar;88(3):175–196. doi: 10.1016/s0161-6420(81)35051-9. [DOI] [PubMed] [Google Scholar]
  44. Welsh N. H. Trabeculectomy with fistula formation in the African. Br J Ophthalmol. 1972 Jan;56(1):32–36. doi: 10.1136/bjo.56.1.32. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Werner E. B., Drance S. M. Progression of glaucomatous field defects despite successful filtration. Can J Ophthalmol. 1977 Oct;12(4):275–280. [PubMed] [Google Scholar]
  46. Wilson P. Trabeculectomy: long-term follow-up. Br J Ophthalmol. 1977 Aug;61(8):535–538. doi: 10.1136/bjo.61.8.535. [DOI] [PMC free article] [PubMed] [Google Scholar]
  47. Zaidi A. A. Trabeculectomy: a review and 4-year follow-up. Br J Ophthalmol. 1980 Jun;64(6):436–439. doi: 10.1136/bjo.64.6.436. [DOI] [PMC free article] [PubMed] [Google Scholar]

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