Clin Ophthalmol. 2014 Dec 18;9:7-16. doi: 10.2147/OPTH.S72357. eCollection 2015.
Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy.
Clinical ophthalmology (Auckland, N.Z.)
Thomas Klink, Johannes Sauer, Norbert J Körber, Franz Grehn, Martin M Much, Luisa Thederan, Juliane Matlach, Josefina Parente Salgado
Affiliations
Affiliations
- Department of Ophthalmology, University of Würzburg, Würzburg, Germany.
- Augencentrum Köln-Porz, Köln, Germany.
PMID: 25565763
PMCID: PMC4274143 DOI: 10.2147/OPTH.S72357
Abstract
PURPOSE: To evaluate quality of life (QoL) with a new questionnaire after canaloplasty (CP) and trabeculectomy (TE).
PATIENTS AND METHODS: We assessed outcomes of surgery, rate of revision surgeries, patients' mood, and influence of postoperative care on QoL, surgery interference with daily activities, and postsurgical complaints. Patients completed the QoL questionnaire 24 months after surgery.
RESULTS: Patients who underwent CP (n=175) were compared to TE patients (n=152). In the CP group, 57% of patients expressed high satisfaction, while 41% of patients in the TE group said they were highly satisfied. The satisfaction difference was statistically significant (P=0.034). Significantly fewer second surgeries were needed after CP (8% CP versus 35% TE, P<0.001). Patients were more positive in the CP group (54% CP versus 37% TE, P<0.009). Stress related to postoperative care was lower in the CP group compared to the TE group (14% versus 46%). Difficulties with activities of daily living, such as reading, were much lower or even nonexistent after CP, and complaints like eye burning or stinging were significantly lower in the CP group.
CONCLUSIONS: Compared with TE, CP is associated with less QoL impairment and higher patient satisfaction after surgery. However, long-term data on intraocular pressure reduction after surgery are needed to confirm long-term patient satisfaction with this surgery.
Keywords: glaucoma; glaucoma surgery; non-penetrating glaucoma surgery; postoperative care
References
- Arch Ophthalmol. 1994 May;112(5):630-8 - PubMed
- Arch Ophthalmol. 2001 Jul;119(7):1050-8 - PubMed
- J Cataract Refract Surg. 2011 Apr;37(4):682-90 - PubMed
- Med Care. 1992 Dec;30(12):1111-26 - PubMed
- Acta Ophthalmol. 2008 Feb;86(1):71-80 - PubMed
- Surv Ophthalmol. 2012 Jan-Feb;57(1):1-25 - PubMed
- Ophthalmology. 2001 May;108(5):887-97; discussion 898 - PubMed
- Klin Monbl Augenheilkd. 2012 Apr;229(4):471-80; quiz 481-2 - PubMed
- Am J Ophthalmol. 2007 Aug;144(2):238-244 - PubMed
- Curr Opin Ophthalmol. 2004 Jun;15(3):238-43 - PubMed
- J Glaucoma. 2003 Apr;12(2):139-50 - PubMed
- Ophthalmology. 2011 Dec;118(12):2427-33 - PubMed
- Arch Ophthalmol. 1998 Nov;116(11):1496-504 - PubMed
- Arch Ophthalmol. 1998 Jul;116(7):861-6 - PubMed
- Acta Ophthalmol. 2009 Aug;87(5):524-8 - PubMed
- J Glaucoma. 2009 Jan;18(1):6-12 - PubMed
- Invest Ophthalmol Vis Sci. 2002 Apr;43(4):927-35 - PubMed
Publication Types