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Abstract #24078 Published in IGR 11-3
The value of "Crozafon-De Laage punch" in combined phacoemulsification-trabeculectomy
Turki Ben Hadj-Alouane W; Laabidi H; Gabsi SJournal Français d'Ophtalmologie 2009; 32: 396-403
PURPOSE: To assess the efficacy and safety of the "Crozafon-De Laage punch" during combined phacoemulsification-trabeculectomy interventions. METHODS: We conducted a retrospective Study of 75 eyes of 75 patients with cataract and open-angle glaucoma inadequately controlled by maximum medical and/or physical treatment. They underwent phacotrabeculectomy using the Crozafon-De Laage punch. We noted pre- and postoperative best visual acuity (VA) and intraocular pressure (IOP) as well as intra- and postoperative complications. RESULTS: After a mean follow-up of 24 months (range, 9-36), the functional results were satisfactory, with an average VA gain during the 1st postsurgical month of 5.8/10e±1.58 (compared to the preoperative VA). This gain in VA was steady with VA greater than 5/10e in 96% of our patients at 1 and 24 postoperative months. The mean IOP reduction was meaningful and steady: reduction of 8.2mm at the 9th postoperative month maintained to the 24th month. Ninety-five percent of our patients did not need medical treatment until the last follow-up; for the remaining 5%, IOP was controlled using a single agent. No intraoperative complications related to the use of the Crozafon-De Laage punch were noted. The postoperative complications were marked by the occurrence of a minimal and transient inflammatory reaction in 5.3% of cases; it was associated with a pseudoexfoliative syndrome in all cases. CONCLUSION: Phacotrabeculectomy using the Crozafon-De Laage punch provides better control of glaucoma, faster functional rehabilitation, and fewer complications associated with filtration surgery. LA: French
Dr. W. Turki Ben Hadj-Alouane, Service d'ophtalmologie, hôpital militaire de Tunis, 1008 Montfleury, Tunis, Tunisie
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
