Intraocular Pressure Following Phacoemulsification and Endoscopic Cyclophotocoagulation for Advanced Glaucoma

Morales, José; Qahtani, Masaoud Al; Khandekar, Rajiv; Shahwan, Sami Al; Odhayb, Sami Al; Mobarak, Faisal Al; Edward, Deepak P.

doi:10.1097/ijg.0000000000000228

Cited by 42 publications

(44 citation statements)

References 14 publications

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“…Endocyclophotocoagulation (ECP) can be combined with cataract extraction to theoretically reduce aqueous humor production. Only modest IOP reduction and reduction in medication use has been observed in several studies [20][21][22], but with few adverse events identified. Nevertheless, these IOP reductions were observed over up to 36 months postoperatively.…”

Section: Adjunctive Proceduresmentioning

confidence: 93%

Glaucoma and cataract surgery

Shah

Law

Ahmed

2016

Current Opinion in Ophthalmology

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Although the challenges of performing cataract extraction on glaucoma patients exist, the potential benefit to these patients is substantial. With attention to pre- and perioperative surgical planning and intraoperative technique, as well as with awareness and potential utilization of novel devices and treatment strategies, cataract extraction offers a unique platform for anatomical and functional improvement in this increasingly common cohort of patients.

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Section: Adjunctive Proceduresmentioning

confidence: 93%

Glaucoma and cataract surgery

Shah

Law

Ahmed

2016

Current Opinion in Ophthalmology

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“…Morales et al. () retrospectively evaluated the results of phacoemulsification combined with ECP for advanced glaucoma and cataract at least 1 year after surgery. Absolute success (≤15 mmHg without medicatons) and qualified success (≤15 mmHg with medications) were reported 13.6% and 42% for PACG patients.…”

Section: Discussionmentioning

confidence: 99%

Intra‐ocular pressure fluctuation after cataract surgery in primary angle‐closure glaucoma eyes medically controlled after laser iridotomy

Özyol

Sül

et al. 2016

Acta Ophthalmologica

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“…Kaplowitz K. et al described that ECP used for POAG decreases IOP by 8%-47%, to a nal average near 15 mmHg 12 . Clement et al combined phaco-ECP and observed IOP reductions up to 69%, the mean reduction of 23.9% 12 months after treatment 7,13 .…”

Section: Cataract Extraction As a Stand Alone Procedures Does Not Provmentioning

confidence: 99%

Primary Outcomes of Combined Cataract Extraction Technique with Ab-interno Trabeculectomy  and Endoscopic Cyclophotocoagulation  in Patients with Primary Open Angle Glaucoma

Izquierdo¹,

Mejias²,

Cañola³

et al. 2020

Preprint

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Background: To determine the outcome of using combined phacoemulsification technique, ab-interno trabeculectomy dual blade and endoscopic cyclophotocoagulation (ECP) surgeries in patients with primary open angle glaucoma. Methods:  A retrospective case series was performed on 27 consecutive eyes with both primary open-angle glaucoma (POAG) and cataract; each eye was treated with combined phacoemulsification, ab-interno trabeculectomy-Kahook Dual Blade and Endocyclophotocoagulation at Instituto de ojos Oftalmosalud, Lima, Peru, between April 2017 and May 2017. Inclusion criteria: 1) Patients with uncontrolled mild to advanced POAG (according to Glaucoma Grading Scale HODAPP) 2) cataract condition 3) treatment with two or more glaucoma medications due to rapid progression in the visual fields (at least two in a short period of time). Intraocular pressure (IOP), best corrected visual acuity (BCVA) logMAR and number of glaucoma medications were recorded prior to the study, at day 1, week 1, and 1,3,6 and 9 months after surgery. Primary outcome measure was surgical success defined in terms of IOP <14 mmHg either with no medications (complete success) or with medications (qualified success). Results: A total of 27 eyes from 27 patients were included. The mean basal IOP was 17.0±3.7 mmHg and postoperatively was 11.6±1.9 mmHg and 11.4±1.8 mmHg (P<0.001) at 6 and 9 months respectively. Glaucoma medications decreased from 1.9±1.4 to 0.56±1.05 at 9 month follow-ups (P<0.001). Preoperative best corrected visual acuity (BCVA) showed and improvement from 0.4± 0.4 LogMAR to 0.2 ± 0.4 logMAR at 9 months. The main complication was blood reflux intra-operatively (66.7%), which resolved without re-operation. The mean IOP was reduced by 32.9% from baseline and the surgical success was 92,6%, (complete success 70,3% and qualified success 29,6%) at 9 months.Conclusions: In patients with POAG, combined treatment with phacoemulsification, ab-interno trabeculectomy and endoscopic cyclophotocoagulation effectively reduced IOP and glaucoma medication dependence.

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Intraocular Pressure Following Phacoemulsification and Endoscopic Cyclophotocoagulation for Advanced Glaucoma

Cited by 42 publications

References 14 publications

Glaucoma and cataract surgery

Glaucoma and cataract surgery

Intra‐ocular pressure fluctuation after cataract surgery in primary angle‐closure glaucoma eyes medically controlled after laser iridotomy

Primary Outcomes of Combined Cataract Extraction Technique with Ab-interno Trabeculectomy  and Endoscopic Cyclophotocoagulation  in Patients with Primary Open Angle Glaucoma

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Intraocular Pressure Following Phacoemulsification and Endoscopic Cyclophotocoagulation for Advanced Glaucoma

Cited by 42 publications

References 14 publications

Glaucoma and cataract surgery

Glaucoma and cataract surgery

Intra‐ocular pressure fluctuation after cataract surgery in primary angle‐closure glaucoma eyes medically controlled after laser iridotomy

Primary Outcomes of Combined Cataract Extraction Technique with Ab-interno Trabeculectomy and Endoscopic Cyclophotocoagulation in Patients with Primary Open Angle Glaucoma

Contact Info

Product

Resources

About

Primary Outcomes of Combined Cataract Extraction Technique with Ab-interno Trabeculectomy  and Endoscopic Cyclophotocoagulation  in Patients with Primary Open Angle Glaucoma