Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma

Purpose: To provide efficacy and safety of surgery with Trabectome combined with phacoemulsification in primary open-angle glaucoma. Methods: In this interventional case series, 30 consecutive eyes that have had combined phacoemulsification with Trabectome were included. The main outcome measures we...

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Main Authors: Seyed Javad Hashemian, Arezoo Miraftabi, Mohammad Ebrahim Jafari, Mohsen Rezaei Hemami
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-03-01
Series:Journal of Current Ophthalmology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452232516301196
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spelling doaj-423c242456034beaaaf0244ee57733902021-04-02T14:12:17ZengWolters Kluwer Medknow PublicationsJournal of Current Ophthalmology2452-23252017-03-01291172210.1016/j.joco.2016.09.003Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucomaSeyed Javad HashemianArezoo MiraftabiMohammad Ebrahim JafariMohsen Rezaei HemamiPurpose: To provide efficacy and safety of surgery with Trabectome combined with phacoemulsification in primary open-angle glaucoma. Methods: In this interventional case series, 30 consecutive eyes that have had combined phacoemulsification with Trabectome were included. The main outcome measures were change in intraocular pressure (IOP), glaucoma medication use, and the rate of complications. Results: Mean IOP was 18.25 ± 3.28 mmHg preoperatively which decreased to 13.50 ± 2.53 mmHg at 1 year. (P < 0.05). There was a corresponding drop in glaucoma medications from 2.52 ± 0.60 at baseline to 1.40 ± 0.53 at 12 months (P < 0.01). The preoperative BCVA (Log Mar) was improved from 0.68 ± 0.26 pre-operatively to 0.26 ± 0.19, 0.18 ± 0.13, 0.17 ± 0.13, 0.11 ± 0.12, at 5 days and 2, 6, and 12 months, respectively (P < 0.01). The only frequent complication was transient blood reflux resolving spontaneously within a few days. No vision-threatening complication occurred. Conclusion: Combined phacoemulsification and Trabectome significantly lowered IOP and medication use, with early visual rehabilitation in the majority of patients.http://www.sciencedirect.com/science/article/pii/S2452232516301196PhacoemulsificationTrabectomeGlaucoma
collection DOAJ
language English
format Article
sources DOAJ
author Seyed Javad Hashemian
Arezoo Miraftabi
Mohammad Ebrahim Jafari
Mohsen Rezaei Hemami
spellingShingle Seyed Javad Hashemian
Arezoo Miraftabi
Mohammad Ebrahim Jafari
Mohsen Rezaei Hemami
Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
Journal of Current Ophthalmology
Phacoemulsification
Trabectome
Glaucoma
author_facet Seyed Javad Hashemian
Arezoo Miraftabi
Mohammad Ebrahim Jafari
Mohsen Rezaei Hemami
author_sort Seyed Javad Hashemian
title Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
title_short Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
title_full Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
title_fullStr Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
title_full_unstemmed Combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
title_sort combined cataract extraction and trabeculotomy by the internal approach for coexisting cataract and open-angle glaucoma
publisher Wolters Kluwer Medknow Publications
series Journal of Current Ophthalmology
issn 2452-2325
publishDate 2017-03-01
description Purpose: To provide efficacy and safety of surgery with Trabectome combined with phacoemulsification in primary open-angle glaucoma. Methods: In this interventional case series, 30 consecutive eyes that have had combined phacoemulsification with Trabectome were included. The main outcome measures were change in intraocular pressure (IOP), glaucoma medication use, and the rate of complications. Results: Mean IOP was 18.25 ± 3.28 mmHg preoperatively which decreased to 13.50 ± 2.53 mmHg at 1 year. (P < 0.05). There was a corresponding drop in glaucoma medications from 2.52 ± 0.60 at baseline to 1.40 ± 0.53 at 12 months (P < 0.01). The preoperative BCVA (Log Mar) was improved from 0.68 ± 0.26 pre-operatively to 0.26 ± 0.19, 0.18 ± 0.13, 0.17 ± 0.13, 0.11 ± 0.12, at 5 days and 2, 6, and 12 months, respectively (P < 0.01). The only frequent complication was transient blood reflux resolving spontaneously within a few days. No vision-threatening complication occurred. Conclusion: Combined phacoemulsification and Trabectome significantly lowered IOP and medication use, with early visual rehabilitation in the majority of patients.
topic Phacoemulsification
Trabectome
Glaucoma
url http://www.sciencedirect.com/science/article/pii/S2452232516301196
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