Posters

Assessment of combined phacoemulsification with modified tunnel trabeculopuncture in patients with primary open-angle glaucoma: 4 years of follow-up

Poster Details

First Author: V. Melnyk UKRAINE

Co Author(s):    O. Hurzhii   N. Kotz-Gotlib                 

Abstract Details

Purpose:

To assess the effectiveness of combined phacoemulsification with modified tunnel trabeculopuncture in patients with primary open-angle glaucoma during four years of follow up.

Setting:

409 patients (454 eyes) with primary open-angle glaucoma were operated in the ophthalmic department Visiobud of hospital Medbud Kiev, Ukraine in period from 2012 to 2016 years.

Methods:

All patients were operated by one surgeon in general conditions. Intraocular pressure, density of optic nerve fibers by OCT and average light sensitivity by computer perimetry were assessed before the surgery, every week during the first month after the surgery and then each 3 month during all period of follow up. Average age of all patients was 71.3 years, 58.7% of all patients were females and 41.3% were males. Quantity and character of postoperative complications in all patients were noted during our study.

Results:

All patients had short-term increasing of IOP; through three months it decreased on mean 30% and kept stable. We observed decreasing of density of optic nerve fibers on 16%; data of light sensitivity were stable. In 315 cases (77 %) patients didn’t use any anti-glaucoma medicines; in 20 cases (4,8%) it was necessary to add myotics. Choroidal detachment we observed in 8 cases (1,95%) in the early postoperative period. It reduced spontaneously without additive operations.

Conclusions:

Combined phacoemulsification with modified trabeculopuncture is the best choice in patients with primary open-angle glaucoma because it is safe procedure, it allows decreasing IOP on 30%, and it allows achieving glaucoma compensation without secondary surgery procedure in more than 98% cases. Besides its hypotensive effect this surgery stops progression of glaucoma because it allows to stabilize the average light sensitivity and prevents decreasing of density of optic nerve fibers.

Financial Disclosure:

NONE