Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Glaucoma Surgery Outcome in Rwanda
Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Kognitiv psykologi. London School of Hygiene & Tropical Medicine, England.
Visa övriga samt affilieringar
Antal upphovsmän: 52016 (Engelska)Ingår i: Journal of glaucoma, ISSN 1057-0829, E-ISSN 1536-481X, Vol. 25, nr 8, s. 698-703Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To assess long-term intraocular pressure (TOP) outcome after adult trabeculectomy surgery in Central Africa. Patients and Methods: All adult glaucoma patients who underwent trabeculectomy surgery in the Kabgayi Eye Unit, Rwanda between August 2003 and March 2008 were invited for a follow-up visit. Surgical and clinical data were collected from medical records. At the study visit, best-corrected visual acuity was measured and Goldmann applanation tonometry and biomicroscopy were done. Good IOP outcome was defined as both an IOP < 21 mm Hg and achieving >= 30% reduction from the preoperative IOP. Considering first operated eyes, univariate and multivariate logistic regression was used to investigate risk factors for failure. Results: Of 163 individuals operated 3 had died, 118 (74%) participated. Preoperatively, the mean IOP was 31 mm Hg (SD = 11; range, 12 to 60). At the time of the follow-up study visit the mean postoperative IOP was 13 mm Hg (SD = 5; range, 4 to 35). Good IOP outcome was achieved in 132 eyes (84%). Univariate analysis suggested a protective effect against failure of use of anti metabolites [odds ratio (OR) = 0.39; 95% confidence interval (CI), 0.14-1.11; P = 0.07] and a decrease in success with length of follow-up (OR = 3.57; 95% CI, 1.09-12.50; P = 0.03). The latter remained borderline significant with multivariate analysis. Seven eyes went from previously better vision (at least hand movements) down to perception of light or no perception of light after trabeculectomy. Particularly a flat anterior chamber in the first postoperative week (OR = 0.07; 95% CI, 0.01-0.49; P < 0.001) and late hypotony (OR = 0.04; 95% CI, 0.002-0.99; P = 0.004) were significant risk factors for severe visual loss. Conclusions: Trabeculectomy with antimetabolites is one of the best available options for glaucoma management in Africa. However, the IOP control reduced at a follow-up duration beyond 2 years, highlighting the importance of regular long-term follow-up.

Ort, förlag, år, upplaga, sidor
Wolters Kluwer, 2016. Vol. 25, nr 8, s. 698-703
Nyckelord [en]
glaucoma surgery, Africa, outcome, antimetabolites, follow-up
Nationell ämneskategori
Oftalmologi
Forskningsämne
psykologi
Identifikatorer
URN: urn:nbn:se:su:diva-134267DOI: 10.1097/IJG.0000000000000419ISI: 000380765000023PubMedID: 27027231OAI: oai:DiVA.org:su-134267DiVA, id: diva2:1033908
Tillgänglig från: 2016-10-10 Skapad: 2016-10-03 Senast uppdaterad: 2017-11-30Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltextPubMed
Av organisationen
Kognitiv psykologi
I samma tidskrift
Journal of glaucoma
Oftalmologi

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 259 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf