Surgical and refractive outcomes of combined phaco-ExPress vs phacotrabeculectomy: 6 month follow-up

Session Details

Session Title: Glaucoma I

Session Date/Time: Sunday 11/09/2016 | 14:30-16:00

Paper Time: 15:42

Venue: Auditorium C6

First Author: : J.Konopinska POLAND

Co Author(s): :    A. Byszewska   E. Saeed   M. Wojnar   Z. Mariak   M. Rekas        

Abstract Details

Purpose:

To examine surgical and refractive outcomes of phacotrabeculectomy versus phaco with ExPress device implantation.

Setting:

The randomized prospective study included 82 eyes, of which 47 was subject to phacoemulsification combined with ExPress device implantation (phaco-ExPress), while in 35 eyes phacotrabeculectomy (phaco-trab) was performed. The participants were 36 men and 46 women hospitalized in Ophthalmology Department of the Medical University of Bialystok, Poland.

Methods:

The main diagnostic tests included measuring refraction, aplanation tonometry and keratometry. Some perioperative and postoperative complications and interventions (bleb needling, 5-FU injections) were analyzed as well. Intraocular measurements was performed before the surgery and then on 3 and 6 months after the operation. Statistical methods like Mann- Whitney test and Wilcoxon test were used in this research.

Results:

There were no differences between the groups in postoperative IOP and visual outcomes (p>0,05). Before surgery average astigmatism in phaco-Express group was 0,93 D and 0,95 D in phaco-trab group (p=0,087). 3 months postop average surgically induced astigmatism (SIA) in phaco-ExPress group was 1,18 D versus 1,12 D in phaco-trab group (p=0,72), 6 month after surgery SIA in group I was 1,07 in group II 0,97 (p=0,69). There were no difference between astigmatism before and after surgery in any point of time (p=0,61, p=0,74).

Conclusions:

phaco-ExPress and phaco-trab have comparable efficacy. SIA did not differ among the groups in any point of observation period.

Financial Disclosure:

NONE