Combined phacocanaloplasty for open-angle glaucoma and cataract: 12 month results

Session Details

Session Title: Cataract Surgery & Glaucoma

Session Date/Time: Sunday 23/09/2018 | 14:00-16:00

Paper Time: 14:12

Venue: Room A3, Podium 1

First Author: : H.Ahmed Zein EGYPT

Co Author(s): :    M. Ginady   A. Mostafa                 

Abstract Details

Purpose:

To evaluate efficacy, safety and success rates of canaloplasty combined with phacoemulsification and intraocular lens (IOL) implantation in patients with open-angle glaucoma (OAG) and visually significant cataract.

Setting:

Ophthalmology Department Faculty of Medicine Minia University

Methods:

A prospective interventional non-comparative case series carried out in Minia University Hospital from April 2015 to October 2016 on 20 eyes of 18 patients who had visually significant cataract and primary open –angle glaucoma. All the cases had combined phacocanaloplasty. Preoperative best corrected visual acuity (BCVA), intraocular pressure (IOP) and number of antiglaucoma medications were collected and compared to postoperative levels and complications rates were recorded.

Results:

20 eyes of 18 patients (5 males and 15 females) with mean age 57.6 years (range 48-69) underwent phacocanaloplasty. Preoperatively Mean IOP was 25.20 mmHg ±1.009. Postoperatively IOP decreased to a mean of 14.20 ± 0.9, 14.20 ± 0.9 and 15.85 ± 0.7 at 3,6 and 12 months respectively with 37% reduction from preoperative IOP level at one year follow up visit. The number of antiglaucoma medications dropped from mean of 1.55 preoperatively to 0.35 postoperatively. Log MAR of best corrected visual acuity improved from 0.6950±0.07 preoperatively to 0.3670±0.056, 0.3460±0.056 and 0.03370±0.052 at 3,6 and 12 months post operatively..

Conclusions:

Canaloplasty combined with clear corneal phacoemulsification and IOL implantation was a safe and effective procedure to lower IOP in adult patients with OAG and visually significant cataract.

Financial Disclosure:

-