Trends in glaucoma procedures and surgeries at the eye foundation hospital group, Nigeria

Niger J Clin Pract. 2019 Nov;22(11):1606-1610. doi: 10.4103/njcp.njcp_519_18.

Abstract

Aims: To review the trends in glaucoma procedural treatments from January 2009 to December 2017.

Methodology: A retrospective search was carried out from the operating theater and laser room records of the Eye Foundation Hospitals in Lagos, Abuja, and Ijebu-Imushin. Consecutive glaucoma procedures for each year from January 2009 to December 2017 were recorded in the data sheet prepared for the study. Data were analyzed using SPSS version 25.

Results: From 2009 to 2017, trabeculectomy had been decreasing in frequency from 117 to 65 (44%), except for 2015. The frequency of use of glaucoma drainage device (GDD) has been steadily increasing from 1 in 2013 to 26 in 2017, but this is not statistically significant. The frequency of cataract extraction with trabeculectomy reduced drastically from 20 in 2009 to 3 (566%) in 2014. Bleb review (BR) increased from 2 in 2009 to 18 (800%) in 2015, however, it dropped to 6 in 2017 (66%). Among the laser procedures, transscleral cyclophotocoagulation (g-probe) is commonly done. It increased from 40 procedures in 2009 to 98 in 2014 (145%). There has been an increase in laser trabeculoplasty from 15 in 2009 to 44 in 2013 (193%). Laser iridotomy increased from 12 in 2009 to 26 in 2015 (116%). From 2009 to 2015, there was an increase in glaucoma procedures and surgeries - 206 to 325 (58%) but this declined by 27% from 2015 to 2017.

Conclusion: Trabeculectomy is the most performed procedure at our centers. This is followed by g-probe and laser trabeculoplasty. The rate of trabeculectomy is on the decrease, while the rate of GDD is increasing. The laser procedures are also on the increase.

Keywords: Eye Foundation Hospital Group; glaucoma surgeries; trends; types.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cataract Extraction / statistics & numerical data*
  • Cataract Extraction / trends
  • Ciliary Body
  • Glaucoma / epidemiology
  • Glaucoma / surgery*
  • Glaucoma Drainage Implants / trends*
  • Humans
  • Intraocular Pressure
  • Laser Therapy / methods
  • Laser Therapy / statistics & numerical data*
  • Laser Therapy / trends
  • Middle Aged
  • Nigeria / epidemiology
  • Retrospective Studies
  • Sclera
  • Trabeculectomy / methods
  • Trabeculectomy / statistics & numerical data*
  • Treatment Outcome
  • Young Adult