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Abstract #12363 Published in IGR 7-2
Comparison between phaco-deep sclerectomy converted into phaco-trabeculectomy and uneventful phaco-deep sclerectomy
Rebolleda G; Munoz-Negrete FJEuropean Journal of Ophthalmology 2005; 15: 343-346
PURPOSE: To evaluate and compare the results and complications of eyes that underwent a phaco-deep sclerectomy (DS) converted into phaco-trabeculectomy due to an intraoperative macroperforation with eyes undergoing uneventful phaco-DS. METHODS: The authors reviewed 106 eyes having a planned phaco-DS; 10 of them (9.4%) had to be converted into phaco-trabeculectomy because of a large perforation during the nonpenetrating procedure. Intraocular pressure (IOP), visual acuity, glaucoma medication evolution, and complications were evaluated and compared between groups. RESULTS: Eyes undergoing uneventful phaco-DS (n = 96, Group 1) had a significantly higher postoperative IOP compared with those undergoing transformed phaco-trabeculectomy (n = 10, Group 2) (p < 0.05). One year postoperatively, 81.2% and 100% of the eyes in the Group 1 and 2, respectively, had an IOP pound 21 mmHg without treatment (p = 0.206). One year postoperatively, eyes that underwent uneventful phaco-DS needed more glaucoma medications than eyes converted into phaco-trabeculectomy (p = 0.014). Visual acuity improved more quickly in Group 1 (p < 0.05). Hyphema and choroidal detachment rates were significantly higher in Group 2 (p = 0.002 and p = 0.027, respectively). CONCLUSIONS: Phaco-DS converted into phaco-trabeculectomy provides better midterm IOP control when compared with uneventful phaco-DS, but has more complications and worse visual acuity in the early postoperative period.
Dr. G. Rebolleda, Hospital Ramon y Cajal, Ophthalmology Department, Glaucoma Unit, University of Alcala, Madrid, Spain. grebolleda@telefonica.net
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
