The outcome of surgical treatment in advanced glaucoma.

Abstract Introduction There is uncertainty regarding the outcomes of glaucoma surgery for patients with advanced glaucoma, because it may be associated with the: «wipe out» phenomenon. The aim of this study was to evaluate the outcome of surgical treatment in advanced glaucoma. Methods This retrospective study included 67 eyes of 49 patients with end-stage glaucoma in which glaucoma surgery was carried out. The clinical records prior to and after surgery were reviewed. Follow up period was 14.4 months. Results The mean age was 50.2 years and the sex ratio was 0.75. All the patients had a tubular visual field with persistence of a central island. The mean value of the mean deviation on automated perimetry was 18.94 dB ± 4.7. The mean intraocular pressure (IOP) before surgery was 27.16 mmHg ± 8.9. Postoperatively: the overall success rate was 93% (IOP  Conclusion glaucoma surgery had beneficial effects in the majority of patients with advanced glaucoma. Postoperative IOP was in general controllable and visual acuity was preserved without any cases of wipe-out.