Comparison of Cataract Surgery Alone Versus Cataract Surgery Combined With Trabeculectomy in the Management of Phacomorphic Glaucoma
| Autor: | Sirisha Senthil, Supriya Chinta, Anil K Mandal, Nikhil S. Choudhari, Harsha L. Rao, Vanita Pathak-Ray, Chandra S. Garudadri |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Intraocular pressure medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Visual Acuity Glaucoma Trabeculectomy Cataract Extraction 03 medical and health sciences Tonometry Ocular 0302 clinical medicine Interquartile range Ophthalmology Lens Crystalline medicine Humans 030212 general & internal medicine Intraocular Pressure Aged Retrospective Studies business.industry Retrospective cohort study Cataract surgery Middle Aged medicine.disease eye diseases Treatment Outcome Lens Diseases Cohort 030221 ophthalmology & optometry Female sense organs medicine.symptom business Glaucoma Angle-Closure |
| Zdroj: | Journal of glaucoma. 25(3) |
| ISSN: | 1536-481X |
| Popis: | PURPOSE To compare the outcomes of cataract surgery alone versus combined cataract surgery with trabeculectomy in eyes with phacomorphic glaucoma. MATERIALS AND METHODS In a retrospective comparative case series, 126 eyes of phacomorphic glaucoma presenting within 4 weeks of onset between 1993 and 2012, with at least 6 months of postoperative follow-up were included. Group 1 included 63 eyes with cataract surgery only and group 2 included 63 eyes with combined cataract surgery and trabeculectomy. Primary outcome measure was intraocular pressure (IOP) ≤21 mm Hg (without antiglaucoma medication) 6 months after surgery. RESULTS The median (interquartile range) preoperative IOP in group 1 was 36 mm Hg (30 to 50 mm Hg) and group 2 was 40 mm Hg (32 to 48 mm Hg) (P=0.34). The median duration of phacomorphic attack was 7 days (3 to 12 d) in group 1 and 7 days (3 to 15 d) in group 2 (P=0.39). The median duration of postoperative follow-up was 23 months in group 1 and 30 months in group 2 (P=0.89). Six months after surgery, 97% of the eyes in group 1 and 100% in group 2 achieved IOP≤21 mm Hg without antiglaucoma medications with a median postoperative IOP of 12 mm Hg in both the groups (P=0.09). The median Log MAR visual acuity was significantly better in group 1 compared with group 2 (0.2 vs. 0.3, P |
| Databáze: | OpenAIRE |
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