Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
Ahmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +9...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-06-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/outcomes-of-combined-istent-trabecular-micro-bypass-and-cataract-surge-peer-reviewed-article-OPTH |
| _version_ | 1818740597625716736 |
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| author | Al Habash A Khan O |
| author_facet | Al Habash A Khan O |
| author_sort | Al Habash A |
| collection | DOAJ |
| description | Ahmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To assess the effectiveness and safety of a single iStent trabecular micro-bypass stent implantation in combination with cataract surgery in lowering the intra ocular pressure (IOP) and number of anti-glaucoma medications in Saudi patients with open-angle glaucoma (OAG).Setting: King Fahad Hospital of the University, Al Khobar, Saudi Arabia.Design: Prospective, non-comparative, uncontrolled, non-randomized interventional case series.Methods: One iStent was implanted during phacoemulsification cataract surgery for adult patients with OAG by a single surgeon over a period of 3 years. Main outcome measures include number of anti-glaucoma medications, IOP, corrected distance visual acuity (CDVA) and complications.Results: Thirty-six eyes of 33 patients with OAG underwent the surgery. The pre-operative mean IOP and mean anti-glaucoma medications were 17.47 ± 5.44 mmHg and 2.69 ± 0.92, respectively. At 1 year of follow-up mean, IOP decreased to 13.44 ± 1.99 (23.1% reduction) (P< 0.001) and mean anti-glaucoma medications decreased to 1.47± 1.13 (45.4% reduction) (P< 0.001).Conclusion: After 12-month follow-up, phacoemulsification with the implantation of a single iStent seems to be an effective and safe procedure to lower IOP and the number of anti-glaucoma medications, and to overcome the problems associated with medication nonadherence in OAG patients with cataracts.Keywords: open-angle glaucoma, minimally invasive glaucoma surgery, Schlemm’s canal, iStent trabecular micro-bypass |
| first_indexed | 2024-12-18T01:43:16Z |
| format | Article |
| id | doaj.art-9c8154ff1c9e4bcb825a9df52bc7b5af |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-18T01:43:16Z |
| publishDate | 2020-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-9c8154ff1c9e4bcb825a9df52bc7b5af2022-12-21T21:25:15ZengDove Medical PressClinical Ophthalmology1177-54832020-06-01Volume 141573158054469Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi PopulationAl Habash AKhan OAhmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To assess the effectiveness and safety of a single iStent trabecular micro-bypass stent implantation in combination with cataract surgery in lowering the intra ocular pressure (IOP) and number of anti-glaucoma medications in Saudi patients with open-angle glaucoma (OAG).Setting: King Fahad Hospital of the University, Al Khobar, Saudi Arabia.Design: Prospective, non-comparative, uncontrolled, non-randomized interventional case series.Methods: One iStent was implanted during phacoemulsification cataract surgery for adult patients with OAG by a single surgeon over a period of 3 years. Main outcome measures include number of anti-glaucoma medications, IOP, corrected distance visual acuity (CDVA) and complications.Results: Thirty-six eyes of 33 patients with OAG underwent the surgery. The pre-operative mean IOP and mean anti-glaucoma medications were 17.47 ± 5.44 mmHg and 2.69 ± 0.92, respectively. At 1 year of follow-up mean, IOP decreased to 13.44 ± 1.99 (23.1% reduction) (P< 0.001) and mean anti-glaucoma medications decreased to 1.47± 1.13 (45.4% reduction) (P< 0.001).Conclusion: After 12-month follow-up, phacoemulsification with the implantation of a single iStent seems to be an effective and safe procedure to lower IOP and the number of anti-glaucoma medications, and to overcome the problems associated with medication nonadherence in OAG patients with cataracts.Keywords: open-angle glaucoma, minimally invasive glaucoma surgery, Schlemm’s canal, iStent trabecular micro-bypasshttps://www.dovepress.com/outcomes-of-combined-istent-trabecular-micro-bypass-and-cataract-surge-peer-reviewed-article-OPTHopen angle glaucomaminimally invasive glaucoma surgeryistent trabecular microbypass |
| spellingShingle | Al Habash A Khan O Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population Clinical Ophthalmology open angle glaucoma minimally invasive glaucoma surgery istent trabecular microbypass |
| title | Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population |
| title_full | Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population |
| title_fullStr | Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population |
| title_full_unstemmed | Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population |
| title_short | Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population |
| title_sort | outcomes of combined istent trabecular micro bypass and cataract surgery for the treatment of open angle glaucoma in a saudi population |
| topic | open angle glaucoma minimally invasive glaucoma surgery istent trabecular microbypass |
| url | https://www.dovepress.com/outcomes-of-combined-istent-trabecular-micro-bypass-and-cataract-surge-peer-reviewed-article-OPTH |
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