Combined Cataract and Trabeculectomy Surgery

Johnson, Sandra Marchese

doi:10.1007/978-0-387-09408-3_6

Cited by 2 publications

(2 citation statements)

References 65 publications

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“…In cases of cataract surgeries combined with trabeculectomy, the rates of postoperative complications such as hypotony, bleb leakage, shallow anterior chamber, choroidal detachment, hyphaema, and sclerostomy site blockage were demonstrated to be increased in several previous studies. [11] However, this case is not valid for trabeculotomy. Inatani et al expressed that hyphaema and transient IOP spikes, which were observed frequently with trabeculotomy alone, were observed less often with combined surgeries.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy and cataract surgery

Baykara

Poroy

Erseven

2019

Indian J Ophthalmol

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Purpose: To evaluate the success, safety, and complication rates of gonioscopy-assisted transluminal trabeculotomy (GATT) combined with cataract surgery. Methods: A retrospective study was conducted for 32 patients who underwent GATT combined with phacoemulsification and intraocular lens implantation. Patients with primary open-angle glaucoma were enrolled. The primary outcome measures were visual acuity, intraocular pressure (IOP), the number of antiglaucoma medications used, and complications. Results: The average preoperative visual acuity of the patients was logMAR 1.57 ± 1.2, and the average postoperative visual acuity was logMAR 0.39 ± 0.38. A significant increase in visual acuity was observed post-surgery ( P < 0.05). The average preoperative IOP was 34.2 ± 10.6 mmHg. In the 3 rd postoperative month, the average IOP was 10.5 ± 2.2 mmHg, and in the 6 th postoperative month, the average IOP was 11.2 ± 2.4 mmHg. In all postoperative follow-ups, IOP was significantly lower than that during the preoperative period ( P < 0.05). A decrease of 2.7 ± 0.6 on average was detected in the number of glaucoma medications used in the postoperative period compared to the preoperative period, and the average decrease in the number of active ingredients post-surgery was 3.5 ± 0.8. The most frequent complication was hyphaema (31.2%). In only one patient (3.1%), the surgery was considered to have failed due to the development of deep hypotony. Conclusion: Performing GATT in the same session as cataract surgery does not reduce the efficacy of GATT, yet this procedure reduces the incidence of the most frequent complication of GATT, i.e. hyphaema. Therefore, in convenient cases, combined surgery can safely be performed.

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Section: Discussionmentioning

confidence: 99%

Surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy and cataract surgery

Baykara

Poroy

Erseven

2019

Indian J Ophthalmol

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“…According to the clinical situation, cataract and glaucoma may be treated by a simple cataract surgery, surgical staging (where cataract surgery is carried out before glaucoma surgery or vice versa) or combined surgery (9). The general risk factors for PAC glaucoma (PACG) include: family history of angle closure (10,11), age (12,13), gender (12–14) and Asian or Inuit descent (15–19).…”

Section: Introductionmentioning

confidence: 99%

Effects of phacoemulsification on intraocular pressure and anterior chamber depth

Liu

Zhu

et al. 2012

Experimental and Therapeutic Medicine

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The aim of this study was to investigate the effects of phacoemulsification with intraocular lens (IOL) implantation on intraocular pressure (IOP) and anterior chamber depth (ACD) in patients with cataract or cataract associated with primary angle closure (PAC). A total of 361 patients (481 affected eyes) with senile cataract (cataract group) and 44 patients (52 affected eyes) with cataract associated with PAC (cataract with PAC group) underwent phacoemulsification with IOL implantation from July 2005 to May 2007 and were followed up for 3 to 25 months. There was a significant difference between pre-operative and post-operative IOPs (t=9.270, P<0.01) in the cataract group and in the cataract with PAC group (t=3.29, P<0.01). No significant differences were identified in pre-operative IOP (t=−2.437, P>0.05) and the IOP three months after surgery (t=2.154, P>0.05) between the two groups. There was a significant difference between the pre-operative and post-operative ACDs (t=7.781, P<0.01) in the cataract group and in the cataract with PAC group (t=4.528, P<0.01). A significant difference in ACD between the two groups (t=8.325, P<0.01) existed prior to surgery but following surgery, the ACDs of the two groups were not significantly different (t=2.86, P>0.05). Phacoemulsification with IOL implantation has IOP-lowering effects on cataract and cataract with PAC patients. The International Society of Geography and Epidemiology of Ophthalmology classification method for angle closure glaucoma was adopted in our study. Furhter studies are required to prove the safety and mechanism of lowering IOP impact of phacoemulsifation towards PAC glaucoma (PACG).

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Combined Cataract and Trabeculectomy Surgery

Cited by 2 publications

References 65 publications

Surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy and cataract surgery

Surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy and cataract surgery

Effects of phacoemulsification on intraocular pressure and anterior chamber depth

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