Extracapsular Cataract Extraction and Posterior Chamber Intraocular Lens Implantation Combined With Trabeculectomy in Patients With Glaucoma

Simmons, Steven T.; Litoff, David; Nichols, Dan A.; Sherwood, Mark B.; Spaeth, George L.

doi:10.1016/s0002-9394(14)74102-9

Cited by 118 publications

(33 citation statements)

References 7 publications

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“…57, NO.3, 2()()J present problems during cataract surgery or may become nonfunctional after surgery. Hence in recent past, there has been a trend to combine trabeculectomy with extra capsular lens extraction and posterior chamber intraocular lens implantation in one sitting using a common incision or two separate incisions [2,3]. Though, these techniques have been found to be effective in terms of control of intraocular pressure and visual rehabilitation to some extent, the 8 to 9 mm size conventional incision for cataract surgery is not free from the risk of excessive post operative inflammation, sub conjunctival fibrosis and ultimate effect on patency of filtration bleb [3,4].…”

Section: Resultsmentioning

confidence: 99%

“…Though, these techniques have been found to be effective in terms of control of intraocular pressure and visual rehabilitation to some extent, the 8 to 9 mm size conventional incision for cataract surgery is not free from the risk of excessive post operative inflammation, sub conjunctival fibrosis and ultimate effect on patency of filtration bleb [3,4]. Another drawback is prolonged period of visual rehabilitation due to significant post operative astigmatism and its delayed stabilization [2,3]. Thus combining phacoemulsification with trabeculectomy should provide effective alternative approach which could be done either as two port phacoemulsification followed by trabeculectomy or single port phacoemulsification followed by trabeculectomy through the same incision [5].…”

Section: Resultsmentioning

confidence: 99%

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Management of Concurrent Glaucoma and Cataract by Phacotrabeculectomy Technique: An Effective Alternative Approach

Parihar

Dash

et al. 2001

Medical Journal Armed Forces India

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3() cases of open angle glaucoma with cataract who underwent phacoemulsitlcation, PI\'IMA phaco profile IOL implantation and trahcculectomy through same incision were critically evaluated. The mean controlled. preoperative intra ocular pressure was 20 mm of IIg (range 18 to 35 mm ofHg) by aplanation method. Mean post operative pressure after 12 months was 13 mm of Hg (range 11 to 22 mm of IIg) intra operative hyphaema, post operative uveitis were noted problems. Periodic, post operative optic disc and field evaluation remained static in 66% cases. Visual acuity of 6/12 or better was achieved in 6()% cases. Failure to restore glaucoma control without medication was seen in 13.3% cases after 9-12 months. The combined phacotrabeculectomy is an effective single step technique of managing concurrent glaucoma with cataract. MJAFl2001; 57 : 207-209

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Management of Concurrent Glaucoma and Cataract by Phacotrabeculectomy Technique: An Effective Alternative Approach

Parihar

Dash

et al. 2001

Medical Journal Armed Forces India

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“…8 Combined phacoemulsification and trabeculectomy has several advantages and found to be effective in terms of IOP control to arrest glaucoma progression and at the same time better visual rehabilitation. 9 It is more economical to perform one operation rather than two and further, if phacoemulsification alone should not be sufficient there remains the stress of a second operation for an elderly.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Ramnani¹,

Agarwal²,

Singh³

et al. 2016

Int J Res Med Sci

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“…(12) The benefits of combined procedure include to avoid temporary increase in intraocular pressure in the initial postoperative period and to achieve long-term improvement in IOP control with one surgical procedure, while removing the visual impairment and save the patient one surgery. (13) Although the optimal surgical approach for cataract patients with coexisting glaucoma is still under evolution, phacotrabeculectomy may be considered as the current standard option. The pseudoexfoliation syndrome usually affects the elderly and steady increase in prevalence occurs with advancing age.…”

Section: Discussionmentioning

confidence: 99%

Phacotrabeculectomy With Intraocular Lens (Iol) Implantation in Patients With Coexisting Pseudoexfoliative Glaucoma and Cataract

Nazir¹,

Akbar²,

Qureshi³

et al. 2016

jemds

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PURPOSETo evaluate the efficacy of phacotrabeculectomy with Intraocular Lens (IOL) implantation in patients with pseudoexfoliative glaucoma. MATERIAL AND METHODSThis study included 46 eyes of 46 patients diagnosed with pseudoexfoliative glaucoma and clinically significant cataract. All eyes underwent phacotrabeculectomy with intra ocular lens implantation. Efficacy was measured by evaluating the changes in mean intraocular pressure, mean logMar BCVA, drug number, bleb status and complications. RESULTPostoperative reduction of IOP was very satisfactory for the whole group. The mean pre-operative IOP±SD was 31.27±7.82 mmHg. After the procedure, the mean IOP decreased to a level of 14.05±4.22 mmHg at first week and 13.68±9.27 mmHg at 1 month. The mean IOP values at 3 months were 13.77±3.52 and 14.12±3.19 mmHg at 6 months. The mean IOP at final visit was 14.57±3.44 mmHg. The mean value of pre-operative logMAR BCVA was 0.98±45. It improved to a mean value of logMAR BCVA 0.36±37 at one month, logMAR BCVA 0.37±37 at 6 months and logMAR BCVA 0.39±65 at the final visit after one year. CONCLUSIONPhacoemulsification, IOL implantation and trabeculectomy is an efficacious and safe procedure for treating eyes with co-existing pseudoexfoliation glaucoma and cataract. KEYWORDSPhacotrabeculectomy, Pseudoexfoliation Syndrome, Pseudoexfoliation Glaucoma.HOW TO CITE THIS ARTICLE: Nazir A, Akbar E, Qureshi ST, et al. Phacotrabeculectomy with intraocular lens (IOL) implantation in patients with co-existing pseudoexfoliative glaucoma and cataract.

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Extracapsular Cataract Extraction and Posterior Chamber Intraocular Lens Implantation Combined With Trabeculectomy in Patients With Glaucoma

Cited by 118 publications

References 7 publications

Management of Concurrent Glaucoma and Cataract by Phacotrabeculectomy Technique: An Effective Alternative Approach

Management of Concurrent Glaucoma and Cataract by Phacotrabeculectomy Technique: An Effective Alternative Approach

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Phacotrabeculectomy With Intraocular Lens (Iol) Implantation in Patients With Coexisting Pseudoexfoliative Glaucoma and Cataract

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