Comparison of refractive outcomes after combined cataract and glaucoma surgery: trabeculectomy and glaucoma drainage device implantation

Asano, Shotaro; Koh, Teck Chang Victor; Aquino, Maria Cecilia; Lim, Ka-Ann Dawn; Sng, Chelvin Cheryl Anges; Loon, Seng Chee; Chew, Tec Kuan Paul

doi:10.1097/j.jcrs.0000000000000610

Cited by 1 publication

(1 citation statement)

References 38 publications

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“…The corneal endothelium is unable to regenerate, and it is able to compensate for the loss of endothelial cells by migrating and expanding the cells of the elastic lamina [28] . Patients with PACG comorbid with cataract have higher intraocular pressure and narrow atrial angle, and the toxic side effects of the antiocular pressure drugs used during the treatment process can also have an effect on the anterior corneal endothelium, but it is the surgical factor that has the greatest impact on the anterior corneal endothelium [29][30] . The present results showed that the corneal endothelial cell density at one and three months after surgery was lower in both groups than before, and the average cell area was greater than before.…”

Section: Discussionmentioning

confidence: 99%

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

Cao,

Ou,

Zhou

et al. 2023

Preprint

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Background Elderly cataract patients usually accompany primary angle-closure glaucoma (PACG), leading to a series of pathophysiological changes in the patient’s eyes. While, the treatment of PACG combined with cataracts remains controversial. Methods A retrospective case control study was conducted. One hundred patients with PACG comorbid with cataract who were treated by phacoemulsification, intraocular lens implantation and trabeculectomy were selected as the study group. And another one hundred patients with PACG comorbid with cataract who were treated by phacoemulsification and intraocular lens implantation were selected as the control group. The intraocular pressure (IOP), best corrected visual acuity (BCVA), corneal endothelial cell density, average cell area, anterior chamber depth, anterior chamber angle width, and surgery complications before and after surgery were compared between the two groups. Results One month and three months after surgery, the IOP and BCVA of the study group were lower than those of the control group (P < 0.05). The corneal endothelial cell density of patients in the two groups at one and three months after operation was lower than that before the operation (P < 0.05), and the average cell area was larger than that before the operation (P < 0.05). There was no significant difference in the depth of the anterior chamber and the width of the anterior chamber angle between the two groups (P > 0.05). The depth and width of the anterior chamber angle in the study group were higher than those of the control at one month and three months after surgery (P < 0.05). The complication rate was lower in the study group than in the control group (P < 0.05). Conclusions Phacoemulsification, intraocular lens implantation and trabeculectomy for the treatment of PACG patients with cataract is effective and safe.

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Section: Discussionmentioning

confidence: 99%

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

Cao,

Ou,

Zhou

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Comparison of refractive outcomes after combined cataract and glaucoma surgery: trabeculectomy and glaucoma drainage device implantation

Abstract: Although the refractive outcome tended to fluctuate in short axial length eyes, the refractive prediction error after combined cataract surgery and glaucoma drainage device implantation was relatively small.

Cited by 1 publication

References 38 publications

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

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