Phaco-trabeculotomy combined with deep sclerectomy, a new technique in combined cataract and glaucoma surgery: complication profile
| Autor: | Günter K. Krieglstein, Christoph Lüke, Matthias Lüke, Thomas S. Dietlein, Walter Konen |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Intraocular pressure genetic structures medicine.medical_treatment Visual Acuity Glaucoma Pilot Projects Trabeculectomy Intraocular lens Cataract Postoperative Complications Lens Implantation Intraocular Ophthalmology medicine Glaucoma surgery Humans Prospective Studies Intraoperative Complications Intraocular Pressure Aged Phacoemulsification business.industry Cataract surgery medicine.disease Trabeculotomy eye diseases Surgery Treatment Outcome Sclerostomy Female sense organs business Glaucoma Open-Angle |
| Zdroj: | Acta Ophthalmologica Scandinavica. 85:143-148 |
| ISSN: | 1395-3907 |
| DOI: | 10.1111/j.1600-0420.2006.00785.x |
| Popis: | Purpose: Combined phacoemulsification, intraocular lens implantation and trabeculectomy (PTE) is currently the standard procedure for most ophthalmic surgeons for treating uncontrolled open-angle glaucoma and cataract at the same time. The present pilot study was designed to prospectively evaluate outcomes in glaucoma patients who underwent a new technique of phaco-trabeculotomy plus deep sclerectomy, with particular attention to the complication profile. Methods: A consecutive series of 15 patients with uncontrolled open-angle glaucoma and cataract underwent combined glaucoma and cataract surgery. The procedure started as a two-site approach with phacoemulsification and intraocular lens (IOL) implantation through a temporal incision in clear cornea. Trabeculotomy and deep sclerectomy were performed in the superior quadrant. Postoperative examinations were performed daily for 1 week. Follow-up visits were carried out at 1, 3, 6 and 12 months after surgery. Results: At 1 day post-surgery, mean intraocular pressure (IOP) was significantly reduced to 14.2 mmHg (SD 4.4). At 12 months post-surgery, the complete success rate, defined as IOP |
| Databáze: | OpenAIRE |
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