Authors: Ouattara Y, Diabaté Z, Godé LE, Kouassi MYR, Agré LJ, Babayeju RLO, Koffi KFH, Bilé PEFK
Introduction: POAG filtering surgery arouses a lot of interest regarding its indications and results in melanoderma subjects south of the Sahara. The aim of this work was to contribute to improving the management of this disease in our socio-economic environment.
Material and Methods: Retrospective longitudinal study carried out on the medical records of 47 patients and 52 eyes operated on for primary open-angle glaucoma by trabeculectomy from August 1, 2018, to August 31, 2020 in a private health facility, with postoperative follow-up of at least 1 year, for each case.
Results: The patients were aged 10 to 70 years (mean 62.5 +/- 13.81 years), with a male predominance (51.92%). Those who had health coverage were 44 (93.61%). Patients referred by other ophthalmologists for better care were 26 (55.31%). The mean preoperative IOP was 22.67 mm Hg.
The surgical indication was the failure of medical treatment marked by visual field degradation associated with uncontrolled IOP in 34 eyes (65.38%) and the patient's desire for 5 eyes (9.61%). And of the 52 operated eyes, 8 (15.39%) were under monotherapy, 30 under dual therapy (57.69%) and 14 (26.92%) under triple therapy. All eyes had undergone trabeculectomy, associated with the use of mitomycin C for the 52 eyes (100%). The postoperative IOP at 1 year of follow-up was between 10- and 15-mm Hg in 98.08% of cases with an average pressure drop of 8.67 mm Hg (38.24%).
Conclusion: A common practice of trabeculectomy with a view to refining the indications and mastering both the technique and the management of complications could make it a reliable alternative in the management of POAG in certain patients who are non-compliant or unable to cope the financial cost of medical treatment for life, in our conditions