Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study
AimThe purpose of this study was to determine the real-world efficacy of early phacoemulsification cataract surgery and goniotomy with a Sinskey hook in patients with glaucoma.MethodsThis study was conducted at Advanced Eye Care of New York, a private practice located in Manhattan, NY. This was a si...
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| Format: | Article |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Ophthalmology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fopht.2024.1294651/full |
| _version_ | 1797292928836567040 |
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| author | Daniel Laroche Daniel Laroche Ayobami Adebayo Aaron Brown Chester Ng Soheil Sakkari |
| author_facet | Daniel Laroche Daniel Laroche Ayobami Adebayo Aaron Brown Chester Ng Soheil Sakkari |
| author_sort | Daniel Laroche |
| collection | DOAJ |
| description | AimThe purpose of this study was to determine the real-world efficacy of early phacoemulsification cataract surgery and goniotomy with a Sinskey hook in patients with glaucoma.MethodsThis study was conducted at Advanced Eye Care of New York, a private practice located in Manhattan, NY. This was a single-center, retrospective study of predominantly Black and Afro-Latino patients with glaucoma. These patients underwent early phacoemulsification cataract surgery and goniotomy using an affordable and reusable straight Sinskey hook (Ambler 200-μm tip). Patients who underwent the aforementioned procedure with 6 months of follow-up were included in this study. Investigated parameters were intraocular pressure, number of medications, mean deviation on visual field test, visual acuity, adverse events, and pre/postoperative spherical refractive error.ResultsAmong all 38 eyes that were enrolled in the study and underwent surgery (goniotomy using a Sinskey hook with phacoemulsification), mean intraocular pressure was reduced from 16.45 mmHg at baseline to 13.24 mmHg at month 6, a 19.5% reduction. The mean number of topical intraocular pressure-lowering medications used was reduced from 1.81 at baseline to 0.52 at month 6, a 71% reduction in topical medications.ConclusionCombined early cataract surgery and goniotomy performed with a Sinskey hook is an affordable microinvasive surgery and an effective way to reduce intraocular pressure and the number of ocular hypertensive medications used in Black and Afro-Latino patients with primary open-angle glaucoma. |
| first_indexed | 2024-03-07T20:04:33Z |
| format | Article |
| id | doaj.art-e2ea9a70731e4d86af058c3cac5b84e8 |
| institution | Directory Open Access Journal |
| issn | 2674-0826 |
| language | English |
| last_indexed | 2024-03-07T20:04:33Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Ophthalmology |
| spelling | doaj.art-e2ea9a70731e4d86af058c3cac5b84e82024-02-28T05:14:27ZengFrontiers Media S.A.Frontiers in Ophthalmology2674-08262024-02-01410.3389/fopht.2024.12946511294651Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective studyDaniel Laroche0Daniel Laroche1Ayobami Adebayo2Aaron Brown3Chester Ng4Soheil Sakkari5Department of Ophthalmology, Icahn School of Medicine at Mount Sinai and New York Eye and Ear Infirmary of Mount Sinai, New York, NY, United StatesDepartment of Ophthalmology, Advanced Eyecare of New York, New York, NY, United StatesDepartment of Ophthalmology, Albert Einstein College of Medicine, Bronx, NY, United StatesDepartment of Ophthalmology, Icahn School of Medicine at Mount Sinai and New York Eye and Ear Infirmary of Mount Sinai, New York, NY, United StatesDepartment of Ophthalmology, Advanced Eyecare of New York, New York, NY, United StatesDepartment of Ophthalmology, Advanced Eyecare of New York, New York, NY, United StatesAimThe purpose of this study was to determine the real-world efficacy of early phacoemulsification cataract surgery and goniotomy with a Sinskey hook in patients with glaucoma.MethodsThis study was conducted at Advanced Eye Care of New York, a private practice located in Manhattan, NY. This was a single-center, retrospective study of predominantly Black and Afro-Latino patients with glaucoma. These patients underwent early phacoemulsification cataract surgery and goniotomy using an affordable and reusable straight Sinskey hook (Ambler 200-μm tip). Patients who underwent the aforementioned procedure with 6 months of follow-up were included in this study. Investigated parameters were intraocular pressure, number of medications, mean deviation on visual field test, visual acuity, adverse events, and pre/postoperative spherical refractive error.ResultsAmong all 38 eyes that were enrolled in the study and underwent surgery (goniotomy using a Sinskey hook with phacoemulsification), mean intraocular pressure was reduced from 16.45 mmHg at baseline to 13.24 mmHg at month 6, a 19.5% reduction. The mean number of topical intraocular pressure-lowering medications used was reduced from 1.81 at baseline to 0.52 at month 6, a 71% reduction in topical medications.ConclusionCombined early cataract surgery and goniotomy performed with a Sinskey hook is an affordable microinvasive surgery and an effective way to reduce intraocular pressure and the number of ocular hypertensive medications used in Black and Afro-Latino patients with primary open-angle glaucoma.https://www.frontiersin.org/articles/10.3389/fopht.2024.1294651/fullglaucomaSinskey hookgoniotomyearly cataract surgeryMIGS |
| spellingShingle | Daniel Laroche Daniel Laroche Ayobami Adebayo Aaron Brown Chester Ng Soheil Sakkari Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study Frontiers in Ophthalmology glaucoma Sinskey hook goniotomy early cataract surgery MIGS |
| title | Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study |
| title_full | Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study |
| title_fullStr | Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study |
| title_full_unstemmed | Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study |
| title_short | Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study |
| title_sort | early cataract surgery and affordable sinskey hook goniotomy in black and afro latino glaucoma patients a 6 month retrospective study |
| topic | glaucoma Sinskey hook goniotomy early cataract surgery MIGS |
| url | https://www.frontiersin.org/articles/10.3389/fopht.2024.1294651/full |
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