Dr. DEVENDRA MAHESHWARI

Dr. SANJANA RAO, Dr.Rama Krishnan R, Dr.MOHIDEEN ABDUL KADAR PMT

Abstract

Retrospective non comparative study. 45 consecutive patients(pts)with CDs following trabeculectomy(5 Yr period)included. Mean age 63.27 ± 8.68 yrs ,(M:F 2:1), 18 of 45(40%) each had DM & HT.18 of 45(40%)were hypermetropes.29 of 45(64.4%)had a baseline IOP of > 24 mm Hg .Pts had a median follow up of 22.2(IQR 16.2 to 30.5 )months.10 of 45(22.2 %) had CDs post ALS.Median onset of CD post surgery was 16.0 (IQR 11 to 36) days.Mean BCVA improved from 0.62 ± 0.28 to 0.24 ± 0.27(p < 0.001)& mean IOP increased from 4.07 ± 2.66 to 11.20 ±5.31(p <0.001)at last visit.Medical management was the mainstay in all pts. Four of 45(8.88%) pts underwent choroidal drainage. IOP significantly increased from a mean of 3.25 ± 0.95 to 13.75 ± 8.09(p= 0.04)& there was however no significant improvement in BCVA at final visit in these eyes.CD is a relatively rare complication in post trabeculectomy eyes. Although medical management is the mainstay, long term follow up is essential to prevent chronic hypotony.

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