Outcome of glaucoma surgery at Mombasa Lighthouse for Christ Eye Center

Citation:
Nderi GJ, Gichuhi S, Kollman M, Matende I. "Outcome of glaucoma surgery at Mombasa Lighthouse for Christ Eye Center.". In: East African Journal of Ophthalmology. Elsevier; 2009.

Abstract:

OBJECTIVES:
The main objective was to evaluate the outcome of glaucoma surgeries in a centre for eye care in Kenya.
 
DESIGN:
Retrospective case series.
 
SETTING:
The study was conducted at Mombasa Light House for Christ Eye Centre- Kenya.
 
SUBJECTS:
All patients diagnosed to have glaucoma and managed by surgery between 2004-2007.
 
MATERIALS AND METHODS:
Records from 2004 to 2007 were retrieved and data collected on the surgeries done using a structured questionnaire. 2008 was left for follow up to avail a one year minimum follow up time.
Analysis was done using SPSS version 13.
 
RESULTS:
265 operations were recorded in this period. 213 were retrieved and the outcomes analysed. There was good IOP control over the follow up period with a gradual rise post operation, though the pressures remained within normal. Most of the patients were controlled with no need for medications, or much less medication use.
 
The average intra-ocular pressure at two year follow up was 15.0mmHg against a baseline of 28.7mmHg (p< 0.001). 29 eyes (13.6%) required medication for intra-ocular pressure control. One type of medication was able to control the pressures post operatively. Surgery reduced topical antiglaucoma medication use by 72%.
 
 
CONCLUSION:
Intra-ocular pressure was well controlled surgically for the two year follow up.
 
RECOMENDATIONS:
Surgical intervention can be taken as a first option for glaucoma control in our set up, especially as most of our patients present late.

Notes:

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