Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy

Please always quote using this URN: urn:nbn:de:bvb:20-opus-149520
  • 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,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.show moreshow less

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Metadaten
Author: Thomas Klink, Johannes Sauer, Norbert J Körber, Franz Grehn, Martin M Much, Luisa Thederan, Juliane Matlach, Josefina Parente Salgado
URN:urn:nbn:de:bvb:20-opus-149520
Document Type:Journal article
Faculties:Medizinische Fakultät / Augenklinik und Poliklinik
Language:English
Parent Title (English):Clinical Ophthalmology
Year of Completion:2015
Volume:9
Pagenumber:7-16
Source:Clinical Ophthalmology 2015, 9, 7-16. DOI: 10.2147/OPTH.S72357
DOI:https://doi.org/10.2147/OPTH.S72357
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=PMC4274143
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 617 Chirurgie und verwandte medizinische Fachrichtungen
Tag:glaucoma; glaucoma surgery; non-penetrating glaucoma surgery; postoperative care
Release Date:2018/11/28
Licence (German):License LogoCC BY-NC: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell