Comparison of combined phacoemulsification-non-penetrating deep sclerectomy and phacoemulsification-trabeculectomy

Session Details

Session Title: Presented Poster Session 10: Cataract Surgery Special Cases

Session Date/Time: Sunday 14/09/2014 | 15:00-17:00

Paper Time: 16:15

Venue: Pod 1 (Poster Village)

First Author: : T.Takmaz TURKEY

Co Author(s): :    H. Akmeşe   N. Onursever           

Abstract Details

Purpose:

To compare the outcomes of combined phacoemulsification and non-penetrating deep sclerectomy (P-DS) with combined phacoemulsification and trabeculectomy (P-T) in patiens who have cataract and primary open angle glaucoma (POAG) or pseudoexfoliative glaucoma (PXG).

Setting:

Ataturk Training and Research Hospital, Ankara, Turkey

Methods:

In this prospective randomized study 40 eyes of 40 patients with cataract and POAG or PXG were evaluated. Complete eye examination and glaucoma tests were performed in all patients. Combined P-DS and P-T were performed under local anesthesia in 20 eyes in each group. Visual acuity (VA), intraocular pressure (IOP) and number of glaucoma medications were all recorded preoperatively and postoperative on day 10, months 1, 3, 6 and 12. Complications, laser goniopuncture in P-DS group and needling in P-T group were also recorded.

Results:

The age (P-DS, 66.3±11.0 and P-T, 70.2±9.3 years) and sex distribution (P-DS, 7 female and 13 male, P-T, 9 female and 11 male) were similar in both groups (p>0.05). Number of POAG and PXG patients were 12 and 8, and 13 and 7 in P-DS and P-T groups, respectively (p>0.05). There was no difference between groups in terms of preoperative visual acuity (P-DS, 0.69±0.22 and P-T, 0.76±0.22 logMar), intraocular pressure (P-DS, 17.9±1.6 and P-T, 18.1±1.9 mmHg) and number of medications (P-DS: 2.7±0.7 and P-T: 2.9±0.8), (p>0.05). Visual acuity increased, IOP and number of medications decreased in both groups postoperatively (p<0.01). Visual acuity increase and IOP decrease were similar in both groups (p>0.05). Postoperative number of medications were slightly better in P-T group (0.5±0.7) than in P-DS group (0.8±0.9) (p=0.307). There were no complications in both groups. Laser goniopuncture was applied in 7 eyes (1 time in 5 eyes and 2 times in 2 eyes) in P-DS group. Needling was performed in 1 eye in P-T group.

Conclusions:

In patients with coexisting cataract and glaucoma, both combined P-DS and P-T should be performed safely. Reliability and efficacy were similar in both groups. Follow-up of P-DS should be done cautiously and when necessary laser goniopuncture should be performed.

Financial Interest:

NONE