The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma
Ahmed Samir,1,2 Ayman M Abdelrahman Elsayed,1 Yasmine A Deiaeldin,1 Mohammed A Al-Naimy1 1Department of Ophthalmology, Zagazig University, Zagazig, Sharkia, Egypt; 2Magrabi Eye Hospital, Jeddah, Kingdom Saudi ArabiaCorrespondence: Ahmed Samir, Tel +966 594988779, Email ahmedsamir74@gmail.comPurpose:...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-08-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/the-role-of-automated-peripheral-iridectomy-combined-with-phacoemulsif-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1798041819938816000 |
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| author | Samir A Abdelrahman Elsayed AM Deiaeldin YA Al-Naimy MA |
| author_facet | Samir A Abdelrahman Elsayed AM Deiaeldin YA Al-Naimy MA |
| author_sort | Samir A |
| collection | DOAJ |
| description | Ahmed Samir,1,2 Ayman M Abdelrahman Elsayed,1 Yasmine A Deiaeldin,1 Mohammed A Al-Naimy1 1Department of Ophthalmology, Zagazig University, Zagazig, Sharkia, Egypt; 2Magrabi Eye Hospital, Jeddah, Kingdom Saudi ArabiaCorrespondence: Ahmed Samir, Tel +966 594988779, Email ahmedsamir74@gmail.comPurpose: To evaluate the role of automated peripheral iridectomy as an adjunctive tool combined with phacoemulsification and ExPRESS shunt implantation in management of cases with chronic angle closure glaucoma.Setting: Magrabi eye hospital.Methods: This prospective study included 22 eyes of 22 patients with chronic angle closure glaucoma and cataract who underwent Ex-PRESS shunt implantation, cataract extraction and surgical peripheral iridectomy at the site of shunt implantation in the period between January 2018 and April 2020.Results: After surgery, the mean IOP was 11.3± 1.2 mm Hg, 14.5± 1.6 mm Hg, 14.8± 2.1 mm Hg, 15.3± 1.9 mm Hg and 17.4± 1.8 mm Hg at 7 days, 1 month, 3 months, 6 months and 12 months, respectively. All postoperative IOP was significantly lower compared with preoperative IOP (P = 0.001). There was a significant decrease in the number of medications required after surgery. The baseline mean number of medications was 3.4± 0.02 (range from 1 to 4), while postoperatively the mean number of medications decreased to 0.7± 0.01 at 12 months (P < 0.01). The qualified success rate was 6/22 eyes, and the complete success rate was 16/22 (72.7%) at 12 months, respectively.Conclusion: The combined phacoemulsification and Ex-PRESS shunt implantation with automated peripheral iridectomy is an effective and safe procedure to treat chronic angle closure glaucoma.Keywords: Ex-PRESS shunt, chronic angle closure glaucoma, iridectomy |
| first_indexed | 2024-04-11T22:26:55Z |
| format | Article |
| id | doaj.art-dbf2b7ca35634c60b21bd5c69c2bace2 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-04-11T22:26:55Z |
| publishDate | 2022-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-dbf2b7ca35634c60b21bd5c69c2bace22022-12-22T03:59:37ZengDove Medical PressClinical Ophthalmology1177-54832022-08-01Volume 162699270377505The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure GlaucomaSamir AAbdelrahman Elsayed AMDeiaeldin YAAl-Naimy MAAhmed Samir,1,2 Ayman M Abdelrahman Elsayed,1 Yasmine A Deiaeldin,1 Mohammed A Al-Naimy1 1Department of Ophthalmology, Zagazig University, Zagazig, Sharkia, Egypt; 2Magrabi Eye Hospital, Jeddah, Kingdom Saudi ArabiaCorrespondence: Ahmed Samir, Tel +966 594988779, Email ahmedsamir74@gmail.comPurpose: To evaluate the role of automated peripheral iridectomy as an adjunctive tool combined with phacoemulsification and ExPRESS shunt implantation in management of cases with chronic angle closure glaucoma.Setting: Magrabi eye hospital.Methods: This prospective study included 22 eyes of 22 patients with chronic angle closure glaucoma and cataract who underwent Ex-PRESS shunt implantation, cataract extraction and surgical peripheral iridectomy at the site of shunt implantation in the period between January 2018 and April 2020.Results: After surgery, the mean IOP was 11.3± 1.2 mm Hg, 14.5± 1.6 mm Hg, 14.8± 2.1 mm Hg, 15.3± 1.9 mm Hg and 17.4± 1.8 mm Hg at 7 days, 1 month, 3 months, 6 months and 12 months, respectively. All postoperative IOP was significantly lower compared with preoperative IOP (P = 0.001). There was a significant decrease in the number of medications required after surgery. The baseline mean number of medications was 3.4± 0.02 (range from 1 to 4), while postoperatively the mean number of medications decreased to 0.7± 0.01 at 12 months (P < 0.01). The qualified success rate was 6/22 eyes, and the complete success rate was 16/22 (72.7%) at 12 months, respectively.Conclusion: The combined phacoemulsification and Ex-PRESS shunt implantation with automated peripheral iridectomy is an effective and safe procedure to treat chronic angle closure glaucoma.Keywords: Ex-PRESS shunt, chronic angle closure glaucoma, iridectomyhttps://www.dovepress.com/the-role-of-automated-peripheral-iridectomy-combined-with-phacoemulsif-peer-reviewed-fulltext-article-OPTHexpress shuntchronic angel closure glaucomairidectomy |
| spellingShingle | Samir A Abdelrahman Elsayed AM Deiaeldin YA Al-Naimy MA The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma Clinical Ophthalmology express shunt chronic angel closure glaucoma iridectomy |
| title | The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma |
| title_full | The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma |
| title_fullStr | The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma |
| title_full_unstemmed | The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma |
| title_short | The Role of Automated Peripheral Iridectomy Combined with Phacoemulsification and Mini Ex-PRESS Shunt Implantation in Patients with Chronic Angle Closure Glaucoma |
| title_sort | role of automated peripheral iridectomy combined with phacoemulsification and mini ex press shunt implantation in patients with chronic angle closure glaucoma |
| topic | express shunt chronic angel closure glaucoma iridectomy |
| url | https://www.dovepress.com/the-role-of-automated-peripheral-iridectomy-combined-with-phacoemulsif-peer-reviewed-fulltext-article-OPTH |
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