Husam Osman Balla Abdalla*, Isiaka Sanni Oluwasegun, Sherifdeen Adebiyi Babatunji and Fatiu Okeowo Lekan

Department of Ophthalmology and Department of Optometry, Makkah Specialist Eye Hospital Kano, Albasar International Foundation, Sudan

*Corresponding Author: Husam Osman Balla Abdalla, Department of Ophthalmology and Department of Optometry, Makkah Specialist Eye Hospital Kano, Albasar International Foundation, Sudan.

Received: March 27, 2024; Published: April 17, 2024

Abstract

Background: Mitomycin C (MMC) augmented primary trabeculectomy surgery is a very viable option for controlling primary open angle glaucoma (POAG) in a low income country like Nigeria in West Africa. There is limited information about the outcome of trabeculectomy surgery in northwestern Nigeria, West Africa.

Aim: To determine the outcomes of trabeculectomy surgery regarding reduction of post-operative Intra Ocular Pressure (IOP), as well as preserved functional vision among glaucoma patients attending Makkah Specialist Eye Hospital Kano (MSEHK) Nigeria, West Africa.

Materials and Methods: A retrospective glaucoma case notes search for data concerning history of MMC augmented trabeculectomy with a minimum of 6 months post-operative follow-up visit between January 2021 and December 2022 was done. The criteria for a good outcome were post-operative IOP of ≤ 18 but ≥5 mmHg. Consultant ophthalmologists that are contract staff of MSEHK and with expertise in trabeculectomy performed the surgeries.

Results: A total of sixty patients aged 43.32 years (± 12.83), at presentation had a mean aided Snellen’s visual acuity (VA) of 6/10.5 partial; 0.56 (± 0.36) but reduced to 6/12 partial; 0.46 (± 0.31) post-operatively, p = 0.00, mean cup disc ratio was 0.82 (± 0.12) but slightly changed to 0.82 (± 0.12) p = 0.16, and mean spherical equivalence was -0.31D (± 1.45) but also slightly changed to -0.30D (± 1.20) at six months post-surgery. Complete success, qualified success with postoperative use of Misopt and Xolamol were 56 (93.33%), 3 (5.50%), and 1 (1.67%), respectively, no failure observed.

Conclusion: MMC augmented primary trabeculectomy surgery was an effective means as to IOP reduction for POAG patients attending MSEHK, Nigeria with significant topnotch success rates, preserve functional vision but loss of one line of Snellen’s VA. MMC augmented primary trabeculectomy is a very viable treatment option for POAG especially in the low income countries like Nigeria in West Africa.

Keywords: Mitomycin C Augmented Primary Trabeculectomy Surgery; Intra Ocular Pressure; Primary Open Angle Glaucoma; Makkah Specialist Eye Hospital Kano

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Citation

Citation: Husam Osman Balla Abdalla., et al. “Two Year Outcomes of Mitomycin C Augmented Primary Trabeculectomy Surgery Among Patients with Primary Open Angle Glaucoma: A Retrospective STU".Acta Scientific Ophthalmology 7.5 (2024): 35-42.

Copyright

Copyright: © 2024 Husam Osman Balla Abdalla., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.