Posters

Phacoemulsification vs phacotrabeculectomy in management of primary angle-closure glaucoma

Poster Details

First Author: A.Elseidi EGYPT

Co Author(s):    M. Elashri   D. Sobeih    A. Alhessy   M. Abdel-Kader   H. El-Sorogy        

Abstract Details

Purpose:

The purpose of the study was to investigate the effects of primary phacoemulsification and intraocular lens (IOL) implantation versus phacotrabeculectomy on intra ocular pressure, visual acuity, anterior chamber depth (ACD), anterior chamber angle width, and number of antiglaucoma medications in eyes with coexisting primary angle closure glaucoma and cataract.

Setting:

Patients were recruited and followed in the department of ophthalmology, Mansoura Ophthalmic Center, Mansoura University.

Methods:

The current study was conducted on patients who were diagnosed to have coexisting PACG and cataract. Patients were divided into 2 groups; group A, patients who underwent phacoemulsification and IOL implantation, and group B, patients who underwent phacotrabeculectomy and IOL implantation. Patients were examined at day1, then at 1 week, 1 month, 3 months and 6 months after surgery. Visual acuity, IOP, glaucoma medications numbers, anterior chamber depth, and anterior chamber angle width were evaluated and analyzed.

Results:

The mean values of visual acuity showed statistically significant improvement at 1 week, 1 month, 3 months and 6 months for both groups (p value < 0.05). A statistically significant reduction in the IOP was recorded at all time points for group A and B (p value < 0.05). The numbers of preoperative medications used for group A and B were significantly reduced for both groups. Moreover, the anterior chamber changes were noticeable in terms of angle width and central depth. A significant increase in central depth and angle width for both groups were reported (p value < 0.05)

Conclusions:

Phacoemulsification and phacotrabeculectomy showed good control of IOP, lower number of medications, and larger AC depth and angle width. The phacotrabeculectomy group showed higher rates of complications than for phacoemulsification group. The current study indicates that performing trabeculectomy may achieve a better control on IOP. Many surgeons, however, prefer phacoemulsification alone because of the decreased complication rate

Financial Disclosure:

None