IngentaConnect Longterm results of one-site phacotrabeculectomy

Authors: Cagini, Carlo¹; Murdolo, Paola¹; Gallai, Raffaella¹

Source: Acta Ophthalmologica Scandinavica, Volume 81, Number 3, June 2003 , pp. 233-236(4)

Abstract:

. Purpose:

To evaluate results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation. Methods:

A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 ± 12.3 months (range 12-46 months). Results:

Preoperative mean intraocular pressure (IOP) (25.1 ± 8.6 mmHg) dropped significantly, to 16.4 ± 1.3 mmHg 1 year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 ± 0.49 to 0.22 ± 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%) we successfully performed scleral flap revision to achieve IOP control. Conclusion:

One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.

Keywords: one-site phacotrabeculectomy; visual acuity; intraocular pressure; complications; glaucoma; cataract; surgery

Document Type: Research article

DOI: 10.1034/j.1600-0420.2003.00051.x

Affiliations: 1: Department of Ophthalmology, University of Perugia, Italy

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