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Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
| Content Provider | Scilit |
|---|---|
| Author | Bakr, Medhat A. Al-Mutairi, Naif K. |
| Copyright Year | 2021 |
| Description | Journal: Clinical Ophthalmology Purpose: To evaluate the long-term surgical outcomes of endoscopic cyclophotocoagulation (ECP) after four years follow-up in cataract and glaucoma patients that needed combined phacoemulsification and ECP (phaco-ECP) in comparison to combined phacoemulsification with trabeculectomy (phaco-trabeculectomy) with mitomycin C (MMC). Patients and Methods: Retrospective case–control study of 34 patients (34 eyes) with glaucoma who underwent phaco-ECP compared with phaco-trabeculectomy in tertiary eye specialist hospital in Saudi Arabia from 2010 to 2012. Participants were enrolled in two groups; ECP and trabeculectomy with MMC when combined with phacoemulsification. Success is defined as complete success when the IOP ≤ 21 mmHg without medication, qualified success when the IOP ≤ 21 mmHg with aid of topical medication. Results: Mean IOP decreased from 25.76 SD ± 8.227 to 15.24 SD ± 7.049 at last visit in phaco-trabeculectomy group and from 21.47 SD ± 4.215 to 12.88 SD ± 3.480 in phaco-ECP group. Mean medication use reduced from 2.89 SD ± 0.3 preoperatively to 1.50 SD ± 1.1 postoperatively (PPP=0.026). Conclusion: ECP illustrates significant reduction of IOP and less postoperative complications if associated with phacoemulsification. Furthermore, it is safe and effective as a primary procedure alternative to combined cataract and trabeculectomy surgery for glaucoma patients having cataract and requiring surgical intervention. |
| Related Links | https://www.dovepress.com/getfile.php?fileID=72948 |
| Ending Page | 3580 |
| Page Count | 8 |
| Starting Page | 3573 |
| ISSN | 11775467 |
| e-ISSN | 11775483 |
| DOI | 10.2147/opth.s320092 |
| Journal | Clinical Ophthalmology |
| Volume Number | ume 15 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2021-08-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Clinical Ophthalmology Ophthalmology Phacoemulsification Trabeculectomy Cyclophotocoagulation |
| Content Type | Text |
| Subject | Ophthalmology |
