Evolution of patients operated by trabeculectomy in the Ophthalmology Center of Santiago de Cuba

Authors

Keywords:

glaucoma, hyphema, trabeculectomy, intraocular pressure.

Abstract

Introduction: Glaucoma is one of the nosologic entities with more prevalence and constitutes one of the main causes of blindness in the developed world. The intraocular pressure is the only risk factor that can be controlled and is associated with the presence and progression of the disease.

Objective: To describe the evolution of patients operated by means of trabeculectomy technique.

Methods: An observational descriptive, longitudinal and prospective study of 128 patients with simple chronic glaucoma operated by means of trabeculectomy technique was carried out in the Ophthalmology Center of Santiago de Cuba, from January, 2017 to June, 2019. For this purpose, the following variables were analyzed: age, sex, skin color, preoperative and postoperative visual acuteness, intraocular pressure before and after the operation, as well as postoperative complications.

Results: There was a prevalence of male sex (69.5%), 60-69 age group (44.5%) and black skin color (53.1%). Hypertension was the most frequent associated disease and the ocular hypertension was the fundamental risk factor; meanwhile, the main postoperative complication was the hyphema.

Conclusions: With trabeculectomy was possible to control ocular tension in most of the patients and the complications that were presented in some of them did not interfere in their clinical course. This technique made it possible to reduce the irreversible damage caused by ocular hypertension of the optic nerve and, consequently, to prevent blindness.

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References

1. Flores Sánchez BC, Tatham AJ. Acute angle closure glaucome. Br J Hosp Med (Lond). 2019 [citado 03/09/2020];80(12):c174-9. Disponible en: https://www.magonlinelibrary.com/doi/full/10.12968/hmed.2019.80.12.C174

2. Bojikian KD, Nobrega P, Wen JC, Zhang Q, Mudumbai RC, Johnstone MA, et al. Macular vascular microcirculation in eyes with open-angle glaucoma using different visual field severity classification systems. J Glaucoma. 2019;28(9):790-6.

3. Barría von Bischhoffshausen F, Jiménez Román J. Guía latinoamericana de glaucoma primario de ángulo abierto. Para el médico oftalmólogo general. 2019 [citado 03/12/2020]. Disponible en: https://paao.org/wp-content/uploads/2016/05/Guia-Glaucoma-2019-final-para-www.pdf

4. Dubey S, Bedi H, Bedi M, Matah P, Sahu J, Mukherjee S, et al. Impact of visual impairment on the wellbeing and functional disability of patients with glaucoma in India. J Curr Ophthalmol. 2020 [citado 03/12/2020];32:14-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265270/pdf/JCO-32-14.pdf

5. Jacobs DS. Open-angle glaucoma: Epidemiology, clinical presentation, and diagnosis. 2023 [citado 10/03/2021]. Disponible en: https://medilib.ir/uptodate/show/6909

6. Organización Mundial de la Salud. Informe mundial sobre la visión. Ginebra: OMS; 2020 [citado 10/03/2021]. Disponible en: https://iris.who.int/bitstream/handle/10665/331423/9789240000346-spa.pdf?sequence=1

7. Roque Choque EC, Noriega Cerdán J, Sánchez Espinosa J, Alvarado Villacorta R. Factores asociados al nivel de conocimiento sobre glaucoma primario de ángulo abierto en un centro de referencia nacional en Perú. Rev Mex Oftalmol. 2022 [citado 10/11/2022];96(5):213-9. Disponible en: https://www.scielo.org.mx/scielo.php?pid=S2604-12272022000500213&script=sci_arttext

8. Gómez Martínez N, Gómez Martínez N, Santander Acosta R, Robaina Castillo R. El glaucoma primario de ángulo abierto, caracterización clínica en Pinar del Río. Rev Cienc Méd Pinar Río. 2019 [citado 10/08/2019];23(6):810-6. Disponible en: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/4069/html

9. Singer L, Green M, Rowe F, Ben Shlomo Y, Morrissey K. Social determinants of multimorbidity and multiple functional limitations among the ageing population of England, 2002-2015. SSM Popul Health. 2019 [citado 10/08/2019];8:100413. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551564/

10. Larco A, Román K, Runzer Colmenares FM. Factores asociados a la falta de adherencia de tratamiento en pacientes con glaucoma. An Fac Méd. 2020 [citado 10/08/2021];81(3):285-93. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025-55832020000300285

11. Romera Romero P, Duch S, Moreno Montañés J, Botella García J, Balboa Miró M, Loscos Arenas J. Encuesta sobre las preferencias quirúrgicas entre los glaucomatólogos en España. Arch Soc Esp Oftalmol. 2022;97(6):310-6.

12. Schuster AK, Erb C, Hoffmann EM, Dietlein T, Pfeiffer N. The Diagnosis and Treatment of Glaucoma. Dtsch Arztebl Int. 2020 [citado 10/08/2021];117(13):225-34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196841

13. Darias Rendón G, López Lantigua N, Cabrera Acevedo MA. La iridoplastia periférica como tratamiento del cierre angular primario. En: Ciencia e Innovación Tecnológica. Innovación y calidad de los sistemas y servicios de salud. Vol. 7. Las Tunas: Editorial Académica Universitaria; 2019. p. 123.

14. Río Torres M, Fernández Argones L, Hernández Silva JR. Oftalmología. Diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2017. p. 106-10.

15. Fumero Gonzalez FY, Cárdenas Chacón D, Piloto Díaz I, Domínguez Randulfe M, Díaz Águila Y, Sánchez Acosta L, et al. Nuevas constelaciones de medicamentos para el glaucoma. Rev Cuba Oftalmol. 2017 [citado 23/04/18];30(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762017000400006

16. Jiménez Franco LE, Gutiérrez Pérez DM, Díaz de la Rosa C, Palacio Muerza CE. Caracterización del glaucoma primario en trabajadores de los medios de comunicación. 16 de Abril. 2022 [citado 23/04/22];61(284):e1663. Disponible en: https://rev16deabril.sld.cu/index.php/16_04/article/view/1663/860

17. Silva Chil TY, González Naranjo M, González Orza Y, Suárez Sánchez O, Duperet Carvajal D. Trabeculectomía en pacientes con glaucoma avanzado de Santiago de Cuba. Rev Inf Cient. 2021 [citado 23/07/22];100(2):e3354. Disponible en: https://revinfcientifica.sld.cu/index.php/ric/article/view/3354/4614

18. Molinet Vega LM, Pérez Pacheco AI, Sablón González R, Morell Ochoa Z, Castillo Vázquez C. Indicadores epidemiológicos, sociales y clínicos del glaucoma en el Hospital "Enrique Cabrera". Arch Hosp Univ. “Gen Calixto García”. 2022 [citado 23/11/23];10(1):126-38. Disponible en: https://revcalixto.sld.cu/index.php/ahcg/article/view/e910/766

19. el Afrit MA, Saadouli D, Hachicha G, ben Mansour K, el Afrit N, Yahyaoui S. Evaluación de resultado del tratamiento quirúrgico en el glaucoma avanzado. Arch Soc Esp Oftalmol. 2021;96(4):189-94.

20. Jacobs DS. Open-angle glaucoma: Treatment. UpToDate. 2023 [citado 21/06/23]. Disponible en: https://www.uptodate.com/contents/open-angle-glaucoma-treatment

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Published

2024-02-28

How to Cite

1.
González Orza Y, Silva Shill TY, Quiala Alayo L, Rodríguez Báez LE, Verdecia Martínez A. Evolution of patients operated by trabeculectomy in the Ophthalmology Center of Santiago de Cuba. MEDISAN [Internet]. 2024 Feb. 28 [cited 2025 Jun. 15];28(1):e4695. Available from: https://medisan.sld.cu/index.php/san/article/view/4695

Issue

Vol. 28 No. 1 (2024): ENERO-FEBRERO

Section

Original Articles

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