Posters
Efficacy of endotrabeculectomy (trabecula ablation ab interno with the forceps) as stand-alone surgery and combined with cataract extraction
Poster Details
First Author: I.Novytskyy UKRAINE
Co Author(s): T. Smal M. Novytskyy O. Levytska
Abstract Details
Purpose:
To investigate the efficacy of endotrabuculectomy performed either alone or combined with phacoemulsification in patients with open-angle glaucoma.
Setting:
Lviv national medical university, 8-th city hospital, Lviv, Ukraine.
Methods:
In first group (38 patients, 38 eyes) stand-alone endotrabeculectomy (ETE) was performed, and in second group (126 patients, 126 eyes) combined surgery ETE and phacoemulsification were performed. Visual acuity, IOP, and a number of medications were recorded at the time of the pre- and postoperative visits. Absolute success was defined as a postoperative IOP <21 mmHg and a ≥20% reduction from baseline without the need for additional medication. Qualified success was a postoperative IOP <21 mmHg and a ≥20% reduction from baseline with or without the need for topical glaucoma medication. Minimum follows up for all patients were 2 years.
Results:
In the ETE group, IOP was reduced from 21.1±1.4 to 14.8±1.2 at 6 months, and to 15,4±1.3 mmHg at 24 months. The number of medications was reduced from 2.3±0.5 to 0.7±0.3 at 6 months. In the phaco-ETE group, IOP was reduced from 19.4±1.7 to 14.8±1.2 at 6 months, and from 15,2±1.2 mmHg at 24 months. The number of medications was reduced from 2.1±0.3 to 0.6±0.1 at 6 months. The success rate using the Kaplan–Meier curve was 90,0% at 24 months after ETE and 92,5% after phaco-ETE.
Conclusions:
Endotrabeculectomy is safe and comparable simple procedure which significantly reduces IOP (IOP reduction at 6 months after the surgery by 6.3 ± 0.5 mm Hg – 29.9% from the initial after stand-alone ETE and by 4.4 ± 0.4 mm Hg – 22.7% from the initial after combined phaco-ETE group). There was no significant difference in hypotensive efficacy in both groups.
Financial Disclosure:
None
