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Trabeculectomy associated with transient, early postop complications in TVT Study

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SAN DIEGO — Trabeculectomy and tube shunt surgery were similarly effective in reducing IOP in the Tube Versus Trabeculectomy Study, but trabeculectomy yielded more early postoperative complications than tubes, a researcher said here.

Donald L. Budenz

Donald L. Budenz, MD, MPH, highlighted complication data from the TVT Study at the American Glaucoma Society meeting.

"Early postoperative complications occurred more frequently after trabeculectomy with mitomycin C than in tube shunt surgery," Dr. Budenz said. "The rates of late postoperative complications and serious complications associated with vision loss and/or reoperation were similar for both surgical procedures."

The difference in total number of early postop complications between trabeculectomy and tube shunt surgery was statistically significant (P = .026). However, most early postop complications were temporary and self-resolving, Dr. Budenz said.

"I would point out that most of the early complications were accounted for by choroidal effusions and shallower anterior chamber, most of which were transient and self-limiting," he said.

Cataract progression was similar in both groups.