Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/42862
Title: Preliminary trabeculectomy results using the Moorfields safer surgery technique in Malta
Authors: Fenech, Matthew
Mifsud, Adrian
Carbonaro, Francis
Keywords: Mitomycin C
Fluorouracil
Glaucoma -- Surgery
Postoperative care
Issue Date: 2019-04
Publisher: University of Malta. Medical School
Citation: Fenech, M., Mifsud, A., & Carbonaro, F. (2019). Preliminary trabeculectomy results using the Moorfields safer surgery technique in Malta. Malta Medical Journal, 31(1), 14-21.
Abstract: Purpose: To review the results of the Moorfields Safer Surgery System (MSSS) for trabeculectomy, recently introduced in Malta. Methods: Patient files were reviewed from data collected over an 18 month period, from the Maltese national teaching hospital, Mater Dei Hospital. Files of all patients undergoing primary trabeculectomy with a minimum of 12 months follow up data available were reviewed. Primary outcome measure of success was defined as a 30% drop in final post-operative intraocular pressure (IOP) at 1 year. Secondary outcome measure of success was final post-op IOP of less than 21mmHg. Unqualified success was defined as satisfactory IOP without the need of anti-glaucoma medication, while qualified success was defined as satisfactory IOP in those patients requiring anti-glaucoma medication. Results: 43 eyes (mean age = 66.2 yrs ± 11.7) were analysed. The mean pre-operative IOP was 27.0mmHg ± 4.6. Mean post-op IOP at one year was 15.3mmHg ±2.7. Unqualified success for the primary outcome measure was achieved in 64.1% of patients while the qualified success was achieved in 82.1%. Unqualified success for the secondary outcome measure was achieved in 72.7% and a qualified success, of 94.8% was obtained. There was 6.8% failure rate. Conclusions: The results from this first review using the Moorfields safe surgery system for Trabeculectomy surgery in the Maltese islands compares well to the current literature.
URI: https://www.um.edu.mt/library/oar//handle/123456789/42862
Appears in Collections:MMJ, Volume 31, Issue 1
MMJ, Volume 31, Issue 1

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