Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
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 we...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-03-01
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| Series: | Journal of Current Ophthalmology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2452232516301196 |
| _version_ | 1818967515419639808 |
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| author | Seyed Javad Hashemian Arezoo Miraftabi Mohammad Ebrahim Jafari Mohsen Rezaei Hemami |
| author_facet | Seyed Javad Hashemian Arezoo Miraftabi Mohammad Ebrahim Jafari Mohsen Rezaei Hemami |
| author_sort | Seyed Javad Hashemian |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T13:50:01Z |
| format | Article |
| id | doaj.art-423c242456034beaaaf0244ee5773390 |
| institution | Directory Open Access Journal |
| issn | 2452-2325 |
| language | English |
| last_indexed | 2024-12-20T13:50:01Z |
| publishDate | 2017-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Current Ophthalmology |
| spelling | doaj.art-423c242456034beaaaf0244ee57733902022-12-21T19:38:33ZengWolters Kluwer Medknow PublicationsJournal of Current Ophthalmology2452-23252017-03-01291172210.1016/j.joco.2016.09.003Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucomaSeyed Javad HashemianArezoo MiraftabiMohammad Ebrahim JafariMohsen Rezaei HemamiPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2452232516301196PhacoemulsificationTrabectomeGlaucoma |
| spellingShingle | Seyed Javad Hashemian Arezoo Miraftabi Mohammad Ebrahim Jafari Mohsen Rezaei Hemami Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma Journal of Current Ophthalmology Phacoemulsification Trabectome Glaucoma |
| title | Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma |
| title_full | Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma |
| title_fullStr | Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma |
| title_full_unstemmed | Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma |
| title_short | Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma |
| title_sort | combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open angle glaucoma |
| topic | Phacoemulsification Trabectome Glaucoma |
| url | http://www.sciencedirect.com/science/article/pii/S2452232516301196 |
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