Outcomes of Phaco-viscocanalostomy in Primary Open Angle Glaucoma versus Pseudoexfoliation Glaucoma

Azaripour, Ebrahim; Khakpour, Yaser; Moghadam, Reza Soltani; Moravvej, Zahra; Medghalchi, Abdolreza; Behboudi, Hassan; Alizadeh, Yousef; Soltanipour, Soheil; Kianmehr, S.

doi:10.18502/jovr.v16i4.9746

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“…23 In pseudoexfoliation glaucoma patient's phacoemulsification in combination with viscocanalostomy has also achieved excellent IOP control and VA improvement. 24,25 Similar to the afore mentioned studies, we achieved significant post-operative IOP reductions in both phacoviscocanalosmy and vicocanalostomy groups. During the 24-month follow-up period significantly lower IOP measurements were noted in postoperative period compared to preoperative period in both groups.…”

Section: Discussionsupporting

confidence: 83%

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Clinical outcomes of viscocanalostomy and phacoviscocanalostomy in primary open angle glaucoma: Two years follow-up

Moghadam

Azaripour

Alizadeh

et al. 2021

European Journal of Ophthalmology

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Purpose To compare the outcomes of phacoviscocanalostomy and viscocanalostomy in patients with primary open angle glaucoma. Methods This non randomized, prospective comparative study included 168 eyes of 168 patients with primary open angle glaucoma (POAG). Phacoviscocanalostomy was performed in 94 eyes with POAG and cataract and viscocanalostomy was performed in 74 eyes with POAG. Preoperative and postoperative intraocular pressures (IOP), number of antiglaucoma medication, intraoperative and postoperative complications were recorded throughout the follow-up period. Results The mean follow-up after surgery was 20.13 ± 7.9 months. Mean IOP decreased significantly 1 month after surgery in both groups (p < 0.001) and remained significantly lower from its preoperative value at all follow-up visits. The postoperative mean IOP at the last follow up in phacoviscocanalostomy and viscocanalostomy was 14.98 ± 4.8 mmHg and 16.84 ± 5.0 mmHg, respectively (p = 0.001). Complete success rate in phacoviscocanalostomy and viscocanalostomy groups was 83.1% and 56.8%, respectively (p = 0.008). Qualified success rate was achieved in 89.4% eyes in the phacoviscocanalostomy group and 83.8% of viscocanalostomy group (p = 0.534). The Best corrected visual acuity (BCVA) in phacoviscocanalostomy group improved significantly post-operatively (p = 0.001). Postoperative antiglaucoma medication in both groups were significantly less than the preoperative values (p = 0.001). Conclusions Both Phacoviscocanalostomy and viscocanalostmy are effective procedures in the control of IOP in patients with POAG with and without cataract. Higher complete success rates and BCVA were achieved in phacoviscocanalostomy. Therefore, phacoviscocanalostomy and viscocanalostomy are recommended in eyes with medically uncontrolled primary open-angle glaucoma with and without coexisting cataract.

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Section: Discussionsupporting

confidence: 83%

“…23 In pseudoexfoliation glaucoma patient's phacoemulsification in combination with viscocanalostomy has also achieved excellent IOP control and VA improvement. 24,25…”

Section: Discussionmentioning

confidence: 99%