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Abstract #5519 Published in IGR 1-2

Result of trabeculotomy with or without simultaneous cataract surgery

Eto T; Yatsuka H; Ishii Y; Nakatsuka K
Japanese Journal of Clinical Ophthalmology 1999; 53: 593-596


We reviewed the outcome of surgery in 34 glaucomatous eyes. The series comprised primary open-angle glaucoma 31 eyes and capsular glaucoma 3 eyes. Trabeculotomy was performed in 20 eyes and trabeculotomy with phacoemulsification/aspiration and intraocular lens implantation in 14 eyes. The preoperative intraocular pressure (IOP) averaged 20.5 +- 0.86 mmHg in the former group and 20.2+-0.90 mmHg in the latter. There was no significant difference between the two groups. At 3 months or later after surgery, the IOP averaged 16.2+-0.66 mmHg in the former group and 12.1+-0.93 mmHg in the latter. The difference was significant (p = 0.0009). Control of IOP below 14 mmHg was attained in 30% in the former group and in 85.7% in the latter. The difference was significant (p=0.0009). The findings show the effectiveness of trabeculotomy with simultaneous cataract surgery over trabeculotomy alone. The procedure can be considered in planning surgery for advanced glaucoma.LA: Japanese

T. Eto, Department of Ophthalmology, Oita Medical University, 1-1 Hasama-machi, Oita-ken 879-5593; Japan


Classification:

12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)



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