Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial
The aim of this study was to compare surgical and refractive outcomes between phacotrabeculectomy (P-Trab) and phaco with Ex-PRESS (P-Ex-PRESS) for glaucoma at a 6-month follow-up. This prospective randomized controlled trial included 81 eyes; 43 eyes (53%) and 38 eyes (47%) were assigned to the P-E...
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| Format: | Article |
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MDPI AG
2021-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/3/424 |
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| author | Joanna Konopińska Anna Byszewska Emil Saeed Zofia Mariak Marek Rękas |
| author_facet | Joanna Konopińska Anna Byszewska Emil Saeed Zofia Mariak Marek Rękas |
| author_sort | Joanna Konopińska |
| collection | DOAJ |
| description | The aim of this study was to compare surgical and refractive outcomes between phacotrabeculectomy (P-Trab) and phaco with Ex-PRESS (P-Ex-PRESS) for glaucoma at a 6-month follow-up. This prospective randomized controlled trial included 81 eyes; 43 eyes (53%) and 38 eyes (47%) were assigned to the P-Ex-PRESS and P-Trab groups, respectively. Refraction, intraocular pressure (IOP), and best-corrected visual acuity were measured. Refractive change was analyzed using the cylinder’s magnitude, and polar analysis assessed the change in the trend of astigmatism [with-the-rule, against-the-rule (ATR), oblique (OBL)], evaluating mean astigmatism in centroid form. All patients showed a statistically significant postoperative decrease in IOP (<i>P</i> < 0.05). There were no differences between the groups in terms of postoperative IOP and visual outcomes or in astigmatism preoperatively or postoperatively (<i>P</i> = 0.61, <i>P</i> = 0.74). In both groups, the mean preoperative and postoperative astigmatism were ATR and OBL, respectively. Preoperative and postoperative centroids in the P-Ex-PRESS group were 0.44 ± 1.32 D at 177° and 0.35 ± 1 D at 8°, respectively, (<i>P</i> = 0.5) and in the P-Trab group were 0.16 ± 1.5 D at 141° and 0.39 ± 1.38 D at 29°, respectively (<i>P</i> = 0.38). Both P-Ex-PRESS and P-Trab showed comparable antihypertensive efficacy in treating open-angle glaucoma over 6 months. Preoperative and postoperative astigmatism did not differ between groups. The groups showed comparable results for final visual acuity. |
| first_indexed | 2024-03-09T03:55:56Z |
| format | Article |
| id | doaj.art-cae996927f714c2abca907a19095bb24 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T03:55:56Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-cae996927f714c2abca907a19095bb242023-12-03T14:20:28ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-0110342410.3390/jcm10030424Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled TrialJoanna Konopińska0Anna Byszewska1Emil Saeed2Zofia Mariak3Marek Rękas4Department of Ophthalmology, Medical University of Białystok, M. Sklodowska-Curie 24A STR, 15-276 Białystok, PolandDepartment of Ophthalmology, Military Institute of Medicine, Szaserów 128 STR, 04-141 Warszawa, PolandDepartment of Ophthalmology, Medical University of Białystok, M. Sklodowska-Curie 24A STR, 15-276 Białystok, PolandDepartment of Ophthalmology, Medical University of Białystok, M. Sklodowska-Curie 24A STR, 15-276 Białystok, PolandDepartment of Ophthalmology, Military Institute of Medicine, Szaserów 128 STR, 04-141 Warszawa, PolandThe aim of this study was to compare surgical and refractive outcomes between phacotrabeculectomy (P-Trab) and phaco with Ex-PRESS (P-Ex-PRESS) for glaucoma at a 6-month follow-up. This prospective randomized controlled trial included 81 eyes; 43 eyes (53%) and 38 eyes (47%) were assigned to the P-Ex-PRESS and P-Trab groups, respectively. Refraction, intraocular pressure (IOP), and best-corrected visual acuity were measured. Refractive change was analyzed using the cylinder’s magnitude, and polar analysis assessed the change in the trend of astigmatism [with-the-rule, against-the-rule (ATR), oblique (OBL)], evaluating mean astigmatism in centroid form. All patients showed a statistically significant postoperative decrease in IOP (<i>P</i> < 0.05). There were no differences between the groups in terms of postoperative IOP and visual outcomes or in astigmatism preoperatively or postoperatively (<i>P</i> = 0.61, <i>P</i> = 0.74). In both groups, the mean preoperative and postoperative astigmatism were ATR and OBL, respectively. Preoperative and postoperative centroids in the P-Ex-PRESS group were 0.44 ± 1.32 D at 177° and 0.35 ± 1 D at 8°, respectively, (<i>P</i> = 0.5) and in the P-Trab group were 0.16 ± 1.5 D at 141° and 0.39 ± 1.38 D at 29°, respectively (<i>P</i> = 0.38). Both P-Ex-PRESS and P-Trab showed comparable antihypertensive efficacy in treating open-angle glaucoma over 6 months. Preoperative and postoperative astigmatism did not differ between groups. The groups showed comparable results for final visual acuity.https://www.mdpi.com/2077-0383/10/3/424astigmatismglaucomaintraocular pressurephacotrabeculectomyEx-PRESS device |
| spellingShingle | Joanna Konopińska Anna Byszewska Emil Saeed Zofia Mariak Marek Rękas Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial Journal of Clinical Medicine astigmatism glaucoma intraocular pressure phacotrabeculectomy Ex-PRESS device |
| title | Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial |
| title_full | Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial |
| title_fullStr | Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial |
| title_full_unstemmed | Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial |
| title_short | Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes—A Randomized Controlled Trial |
| title_sort | phacotrabeculectomy versus phaco with implantation of the ex press device surgical and refractive outcomes a randomized controlled trial |
| topic | astigmatism glaucoma intraocular pressure phacotrabeculectomy Ex-PRESS device |
| url | https://www.mdpi.com/2077-0383/10/3/424 |
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