Abstract
Purpose: :
To determine cyclodialysis incidence after trabeculectomy surgery performed by Ophthalmology residents, diagnosed by ultrasound biomicroscopy.
Methods: :
A prospective, observational, descriptive study of resident performed trabeculectomy procedures from March 1, 2008 to June 1, 2008 at the "Instituto de Oftalmologia Fundacion Conde de Valenciana" in Mexico City, Mexico, was realized after receiving approval from Investigation Unit and Ethical committee of this Institution. All procedures were accomplished by second and third year Ophthalmology residents under direction of glaucoma faculty staff. 31 eyes of 31 patients were included, 17 male (54.48%), 14 female (45.16%) with mean age of 67.74 years. 4 patients were excluded by incomplete follow up. 2 ultrasound biomicroscopy scans were realized in the 1st and 3rd postoperative weeks by the same explorer, with no previous information of the clinical findings in any patient.
Results: :
27 eyes of 27 patients were included, we identify cyclodialysis during the first ultrasound biomicroscopy scan in 11 eyes (40.74%). In only 2 cases (18.18%) cyclodialysis was found in the 2nd scan (persistent cyclodialysis) whereas in the other 9 patients cyclodialysis was closed at this time with no medical or pharmacological intervention.
Conclusions: :
1.This is the first report of cyclodialysis incidence after trabeculectomy surgery performed by residents in Mexican population.2. We find 40.74% cyclodialysis incidence during the first ultrasound biomicroscopy scan and 18.18% was persistent during the 2nd scan.
Keywords: ciliary body • clinical (human) or epidemiologic studies: prevalence/incidence