Follow‐up of non‐complicated filtering surgeries under ambulatory care with no control at Day 1

• Published in: Acta ophthalmologica (Oxford, England) England), 2017-09, Vol.95 (S259), p.n/a
• Main Authors: Jeancolas, A.L., Conart, J.B., Trechot, F., Berrod, J.P., Angioi‐Duprez, K., Maalouf, T.
• Format: Article
• Language: English
• Subjects: Ambulatory care; Complications; Emergency medical services; Eye surgery; Filtration; Glaucoma; Ophthalmology; Success; Surgery
• ISSN: 1755-375X; 1755-3768
• DOI: 10.1111/j.1755-3768.2017.03568

Purpose In most cases, filtering glaucoma surgery is performed as an outpatient procedure and recommendations suggest performing follow‐up at least at Day 1, Day 8, Day 15 and Day 30. As many of our patients have difficulties to come to follow‐up and because of the economical cost of medical transportations we decided to evaluate the results of a group of patients without clinical control at Day 1. Methods Retrospective monocentric study in the department of ophthalmology. All patients (naïve of surgical treatment for glaucoma) underwent of surgery of a primary open‐angle glaucoma in an ambulatory care unit between May 2014 and July 2016. A nurse made a phone call to the patients at Day 1. Clinical controls were due at Day 5 and Day 21. In case of problems detected during the phone call, patients were examined earlier. Results One hundred and forty‐four eyes (126 patients) were consecutively included in our study. The mean preoperative IOP was 20.4 ± 6.4 mmHg. After the phone call, only five patients were examined before the first planned control at Day 5. For 3 of them the examination revealed the presence of a hyphema and their topical treatment was changed. The others two patients had no medical modifications. At Day 5, the mean IOP was 10.6 ± 5.9 mmHg. Thirty‐two eyes (22.2%) needed a change in their treatment at Day 5. The mean IOP at Day 21 was 12.9 ± 4.6 mmHg. Our success rate (IOP