OBJECTIVE:To determine surgical outcome of patients who underwent trabeculectomy in our institution METHODOLOGY:The medical records of glaucoma patient who underwent primary trabeculectomy from 1998 - 2000 in our institution are reviewed.All types of glaucoma are included except congenital and developmental glaucoma.Surgical outcome is assessed in terms of final intraocular pressure (IOP).Outcome is defined as a success when the post-operative IOP is 21 mm Hg or lower.The operation is a failure if IOP is greater than 21 mm Hg despite medication and suture lysis.Data are analyzed using the Chi-Square test. RESULTS: 56 eyes of 45 patients are included in the study.Mean age is 59 - 70 years with s standard deviation (SD) of +_9.50.Mean follow-up is 8 months (SD +_7.97).Of the the 56 eyes, success is obtained in 43 eyes (76%), qualified success is achieved in 8 eyes (14.3%) and failure is seen in 5 eyes (8.9% which is evident on the 14th month +_ 11.39 months.There is a significant number of unsuccessful cases when compared to failed cases (p<(p<0.05 ) respectively.However, no sigificant difference existed between qualified success and failed cases (p<0,05).Increase in pressure is observed between 5 and 10 months after trabeculectomy.Mean pressure is highest during the 5th month. CONCLUSION:There is a high success rate of patients who underwentrabeculectomy in our institution
Human ; GLAUCOMA ;

To determine changes in intraocular pressure before and after breastfeeding, 21 lactating mothers, aged 20 - 36 (mean age = 28), who delivered vaginally without complications, were studied.After instillation of topical anesthetics, the Tonopen was used to take the intraocular pressure (IOP) in millimeters Mercury (mm Hg) 1 hour prior to and immediately after breast-feeding.Three pressure readings were recorded and averaged in each determination.Using the paired T-test, a post-lactation increase in IOP of 0.6 +_ 3.1 mm Hg;(p=0.412) was noted on the right eye;an IOP increased of 2.3+_ 3.7 mm Hg;(p=0.010) was noted on the left eye.
Human ; Female ; Adult ; BREASTFEEDING ; INTRAOCULAR PRESSURE MEASUREMENT ; LACTATION ; OXYTOXIN