Trabeculectomy: a training dilemma

Troutbeck, R, Lee, GA, Sanfilippo, P and Fleming, B (2007) Trabeculectomy: a training dilemma. Eye, 21 2: 183-186. doi:10.1038/sj.eye.6702159

Author Troutbeck, R
Lee, GA
Sanfilippo, P
Fleming, B
Title Trabeculectomy: a training dilemma
Journal name Eye   Check publisher's open access policy
ISSN 0950-222X
Publication date 2007
Sub-type Article (original research)
DOI 10.1038/sj.eye.6702159
Volume 21
Issue 2
Start page 183
End page 186
Total pages 4
Place of publication London
Publisher Nature Publishing Group
Language eng
Formatted abstract
The incidence of trabeculectomy is falling due to more effective medical therapies, resulting in fewer trabeculectomy operations carried out by
Ophthalmology trainees. This study audits all primary trabeculectomy procedures performed publicly at the two major teaching hospitals in
Brisbane, Australia.

A retrospective consecutive case review analysing the rates and outcomes of Ophthalmology trainee versus consultant trabeculectomies that were performed during the period May 1996–May 2002.

In all, 290 primary trabeculectomies were undertaken during the study period. Ophthalmology trainees performed 95 (33%)of the procedures. This represents a rate of 1.6 trabeculectomy procedures per year per trainee
(10 trainees train at the two hospitals per year). Rates of complications postoperatively were similar between the trainee and consultant groups. The percentage of patients achieving an IOP p15mmHg on no medication at their last follow-up was low at 30%.

The results of this study suggests that improvement in trabeculectomy
technique is required. In order to acquire skills, wetlab training on artificial or animal eyes may become mandatory within the training programmes, otherwise trabeculectomy will become the realm of subspecialists with glaucoma fellowship training.
Keyword Ophthalmology
training programme
glaucoma treatment
Glaucoma Treatment
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: Journal Article Import (ISI/CVs)
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Feb 2008, 16:09:32 EST