Early complications of trabeculectomy

Objective To review the early complications of trabeculectomy and the efficiency of the treatment from a series of glaucoma patients.Methods From January 2003 to December 2004,all patients in Peking University Eye Center who performed trabeculectomy were reviewed.The procedures include trabeculectomy(112 eyes),trabeculectomy with human amnion transplantation(118 eyes),trabeculectomy with miotomycin C(MMC)(143 eyes),trabeculectomy with both human amniotic membrane and MMC(24 eyes),trabeculectomy with viscoat(3 eyes).The early complications were described and the mechanisms were analyzed.The treatments were also discussed. Results Most of the early complications(111 eyes,94.1%) were treated by medicines.There was significant different between trabeculectomy with human amnion and trabeculectomy with MMC of some early complications.Conclusions Most of the early complications may be treated by medicine.Choose different surgical procedures by individual difference may get better approach.