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. 2016 Oct 4;29(1):17-22.
doi: 10.1016/j.joco.2016.09.003. eCollection 2017 Mar.

Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma

Seyed Javad Hashemian  1 , Arezoo Miraftabi  1 , Mohammad Ebrahim Jafari  1 , Mohsen Rezaei Hemami  1
Affiliations

Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma

Seyed Javad Hashemian et al. J Curr Ophthalmol. .

Abstract

Purpose: To provide efficacy and safety of surgery with Trabectome combined with phacoemulsification in primary open-angle glaucoma.

Methods: In this interventional case series, 30 consecutive eyes that have had combined phacoemulsification with Trabectome were included. The main outcome measures were change in intraocular pressure (IOP), glaucoma medication use, and the rate of complications.

Results: Mean IOP was 18.25 ± 3.28 mmHg preoperatively which decreased to 13.50 ± 2.53 mmHg at 1 year. (P < 0.05). There was a corresponding drop in glaucoma medications from 2.52 ± 0.60 at baseline to 1.40 ± 0.53 at 12 months (P < 0.01). The preoperative BCVA (Log Mar) was improved from 0.68 ± 0.26 pre-operatively to 0.26 ± 0.19, 0.18 ± 0.13, 0.17 ± 0.13, 0.11 ± 0.12, at 5 days and 2, 6, and 12 months, respectively (P < 0.01). The only frequent complication was transient blood reflux resolving spontaneously within a few days. No vision-threatening complication occurred.

Conclusion: Combined phacoemulsification and Trabectome significantly lowered IOP and medication use, with early visual rehabilitation in the majority of patients.

Keywords: Glaucoma; Phacoemulsification; Trabectome.

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Figures

Fig. 1
Fig. 1
Decreasing trend of intraocular pressure (IOP) during follow-up at 8 time points after surgery (from left, first day, 5th day, 2, 5, 6, 12, 18 and 24 months).
Fig. 2
Fig. 2
Dot plot with fitted lines for all of the intraocular pressure (IOP) reduction (DIOP) at 8 time points after surgery (first day, 5th day, 2, 5, 6, 12, 18 and 24 months).
Fig. 3
Fig. 3
Comparison of intraocular pressure (IOP) reduction between the two groups at 2 months after surgery.
See this image and copyright information in PMC

References

    1. Quigley H.A., Broman A.T. Number of people with glaucoma world wide in 2010 and 2020. Br J Ophthalmol. 2006;90:262–267. - PMC - PubMed
    1. Xu L., Wang Y., Li Y. Causes of blindness and visual impairment in urban and rural areas in Beijing: the Beijing Eye Study. Ophthalmology. 2006;113(7):1134–1141. - PubMed
    1. Hennis A.J., Wu S.Y., Nemesure B. Nine year incidence of visual impairment in the Barbados Eye Studies. Ophthalmology. 2009;116(8):1461–1468. - PMC - PubMed
    1. Chandrasekaran S., Cumming R.G., Rochtchina E., Mitchell P. Associations between elevated intraocular pressure and glaucoma, use of glaucoma medications, and 5-year incident cataract: the Blue Mountains Eye Study. Ophthalmology. 2006;113(3):417–424. - PubMed
    1. Shingleton B.J., Wooler K.B., Bourne C.I., O'Donoghue M.W. Combined cataract and trabeculectomy surgery in eyes with pseudoexfoliative glaucoma. J Cataract Refract Surg. 2011;37(11):1961–1970. - PubMed

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