Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows
Aim: This study was aimed to report the outcome of combined cataract extraction and trabeculectomy with mitomycin C performed by fellows at a tertiary eye care center in South India. Materials and Methods: A retrospective review of patients who underwent combined cataract extraction, intraocular len...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
| Subjects: | |
| Online Access: | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2017;volume=55;issue=4;spage=273;epage=277;aulast=Singaram |
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| author | Archana Singaram Premanand Chandran Varsha Ramachandra Vinoth Arunaachalam Vishwaraj Ramaswamy Ganesh V Raman |
| author_facet | Archana Singaram Premanand Chandran Varsha Ramachandra Vinoth Arunaachalam Vishwaraj Ramaswamy Ganesh V Raman |
| author_sort | Archana Singaram |
| collection | DOAJ |
| description | Aim: This study was aimed to report the outcome of combined cataract extraction and trabeculectomy with mitomycin C performed by fellows at a tertiary eye care center in South India. Materials and Methods: A retrospective review of patients who underwent combined cataract extraction, intraocular lens implantation, and trabeculectomy with mitomycin C performed by fellows between January and December 2015. Patients diagnosed with primary open-angle glaucoma, primary angle-closure glaucoma, and pseudoexfoliation glaucoma were included and those with normal tension, lens-induced, neovascular glaucoma and previous failed glaucoma-filtering surgery were excluded. Results: The study included 280 patients (282 eyes) with a mean age ± standard deviation of 67.9 ± 7.9 years. Mean intraocular pressure (IOP) reduced from a preoperative value of 21.1 ± 6.7 mmHg to 14.2 ± 3.6 and 15.3 ± 4.8 mmHg (P < 0.001) at 6 months and 1 year, respectively. Mean number of antiglaucoma medications reduced from 1.4 ± 0.7 to 0.1 ± 0.1 and 0.1 ± 0.3 (P < 0.001) at 6 months and 1 year, respectively. Mean best-corrected visual acuity improved from 6/60 to 6/12 (P < 0.001) postoperatively. Complete success was 97% at 6 months and 92% at 1 year and qualified success was 100% at 6 months and 1 year. Three patients failed during the follow-up period. The intraoperative complication rate was 7% and reoperation rate was 4.6%. Conclusion: Combined cataract extraction and trabeculectomy performed by fellows is safe and effective to restore vision and control IOP in patients with coexisting cataract and glaucoma. |
| first_indexed | 2024-12-12T05:41:21Z |
| format | Article |
| id | doaj.art-0c7ed27b9a0243258fcef3442eb79127 |
| institution | Directory Open Access Journal |
| issn | 2589-4528 2589-4536 |
| language | English |
| last_indexed | 2024-12-12T05:41:21Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj.art-0c7ed27b9a0243258fcef3442eb791272022-12-22T00:35:54ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362017-01-0155427327710.4103/tjosr.tjosr_2_18Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellowsArchana SingaramPremanand ChandranVarsha RamachandraVinoth ArunaachalamVishwaraj RamaswamyGanesh V RamanAim: This study was aimed to report the outcome of combined cataract extraction and trabeculectomy with mitomycin C performed by fellows at a tertiary eye care center in South India. Materials and Methods: A retrospective review of patients who underwent combined cataract extraction, intraocular lens implantation, and trabeculectomy with mitomycin C performed by fellows between January and December 2015. Patients diagnosed with primary open-angle glaucoma, primary angle-closure glaucoma, and pseudoexfoliation glaucoma were included and those with normal tension, lens-induced, neovascular glaucoma and previous failed glaucoma-filtering surgery were excluded. Results: The study included 280 patients (282 eyes) with a mean age ± standard deviation of 67.9 ± 7.9 years. Mean intraocular pressure (IOP) reduced from a preoperative value of 21.1 ± 6.7 mmHg to 14.2 ± 3.6 and 15.3 ± 4.8 mmHg (P < 0.001) at 6 months and 1 year, respectively. Mean number of antiglaucoma medications reduced from 1.4 ± 0.7 to 0.1 ± 0.1 and 0.1 ± 0.3 (P < 0.001) at 6 months and 1 year, respectively. Mean best-corrected visual acuity improved from 6/60 to 6/12 (P < 0.001) postoperatively. Complete success was 97% at 6 months and 92% at 1 year and qualified success was 100% at 6 months and 1 year. Three patients failed during the follow-up period. The intraoperative complication rate was 7% and reoperation rate was 4.6%. Conclusion: Combined cataract extraction and trabeculectomy performed by fellows is safe and effective to restore vision and control IOP in patients with coexisting cataract and glaucoma.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2017;volume=55;issue=4;spage=273;epage=277;aulast=Singaramcombined glaucoma surgeryfellows' surgerytrabeculectomy |
| spellingShingle | Archana Singaram Premanand Chandran Varsha Ramachandra Vinoth Arunaachalam Vishwaraj Ramaswamy Ganesh V Raman Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows TNOA Journal of Ophthalmic Science and Research combined glaucoma surgery fellows' surgery trabeculectomy |
| title | Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| title_full | Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| title_fullStr | Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| title_full_unstemmed | Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| title_short | Outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| title_sort | outcome of combined cataract extraction and trabeculectomy with mitomycin c performed by fellows |
| topic | combined glaucoma surgery fellows' surgery trabeculectomy |
| url | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2017;volume=55;issue=4;spage=273;epage=277;aulast=Singaram |
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