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Abstract #9016 Published in IGR 5-2
Long-term results of one-site phacotrabeculectomy
Cagini C; Murdolo P; Gallai RActa Ophthalmologica Scandinavica 2003; 81: 233-236
PURPOSE: To evaluate the results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation. METHODS: A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 ± 12.3 months (range, 12-46 months). RESULTS: Preoperative mean intraocular pressure (IOP) (25.1 ± 8.6 mmHg) dropped significantly, to 16.4 ± 1.3 mmHg, one year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 ± 0.49 to 0.22 ± 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%), the authors successfully performed scleral flap revision to achieve IOP control. CONCLUSIONS: One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.
Dr. C. Cagini, Department of Ophthalmology, University of Perugia, Perugia, Italy
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
