Role of minimally invasive glaucoma surgery in the management of chronic open-angle glaucoma
| Autor: | Monali Chakrabarti, Didar Abdulla, Anthony J King, Tarun Sharma, Ojasvi Sharma |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty genetic structures Open angle glaucoma Minimally invasive glaucoma surgery Science medicine.medical_treatment Glaucoma Diseases Trabeculectomy Article Medical research Trabecular Meshwork Ophthalmology medicine Humans Minimally Invasive Surgical Procedures Trabectome In patient Intraocular Pressure Aged Retrospective Studies Multidisciplinary business.industry Phacoemulsification medicine.disease eye diseases Treatment Outcome Medicine Female Stents sense organs business Complication Glaucoma Open-Angle |
| Zdroj: | Scientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | To compare the safety and efficacy of phacoemulsification combined with ab-interno trabeculectomy (Trabectome) and phacoemulsification combined with I-Stent inject in patients with medically uncontrolled primary open-angle glaucoma (POAG). A retrospective comparative case series. 70 eyes of 66 patients completed 2 years follow up after these treatments performed in 2017–2018. 35 eyes of 33 patients underwent combined Phaco-Trabectome (PT); and 35 eyes of 33 patients underwent combined Phaco-I-Stent inject (Pi). Patient demographics and preoperative characteristics are comparable. A 20% drop in IOP was achieved in 27 eyes (77.14%) in PT group and 28 eyes (80%) in Pi group (p = 0.77). Success rate (target IOP achieved and maintained for 2 years) in advance glaucoma was 25% in PT group and 30.7% in Pi group (p = 0.90). In mild to moderate glaucoma, success rate was 85.71% in PT group and 90% in Pi group (p = 0.67). There was no significant difference between two groups with regards to mean reduction in glaucoma medications and complication rates. Trabectome and I-Stent combined with phacoemulsification are equally efficacious and safe for treating patients with medically uncontrolled mild and moderate primary open-angle glaucoma (POAG). However, they are not an effective treatment for patients with advanced glaucoma. |
| Databáze: | OpenAIRE |
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