COMPLICATION RATE IN POST-SURGICAL TRABECULECTOMY PATIENTS WITH AND WITHOUT ANTIMETABOLYTE OPERATED BY FELLOW PHYSICIANS FROM THE GLAUCOMA SERVICE AT THE NATIONAL REHABILITATION INSTITUTE

Abstract

Introduction: Glaucoma, a chronic eye disease characterized by progressive damage to the optic nerve, is one of the leading causes of blindness worldwide. Trabeculectomy, a surgical procedure commonly used in its treatment, has become established as an effective method for controlling intraocular pressure and preserving visual function. The addition of antimetabolites during trabeculectomy has been the subject of debate in the medical literature, as it is associated with improved success rates by reducing scar tissue formation, but also with a potential increase in complications. Furthermore, the variability in the experience and skills of resident physicians could influence surgical outcomes. Therefore, this study will analyze the postoperative complication and success rates during the first and last six months of their training.

Objective: To evaluate and compare the postoperative complication rates of trabeculectomy with and without antimetabolite use performed by resident physicians in the Glaucoma Department during the first six months versus the last six months of their training.

Methodology: Longitudinal, retrospective, observational and analytical study.