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Small incision cataract surgery with trabeculectomy versus phacoemulsification trabeculectomy in pseudoexfoliation glaucoma
| Content Provider | Scilit |
|---|---|
| Author | Ramyashri, S. Padhy, Debanand Das, Gopinath Rao, Aparna |
| Copyright Year | 2020 |
| Abstract | Purpose: This study aims to evaluate efficacy and outcomes of manual small incision cataract surgery with trabeculectomy (Group 1) and phacoemulsification with trabeculectomy (Group 2) in pseudoexfoliation glaucoma (PXG). Methods: In this retrospective comparative observational case series, All patients with PXG who underwent either small incision cataract surgery or phacoemulsification with trabeculectomy from 2011-2015 were studied. Data compared included best corrected visual acuity (BCVA), intraocular pressure (IOP), total surgical time, and incidence of intra/postoperative complications. Results: A total of 82 (Group 1) and 64 (Group 2) subjects were included for the study. The baseline IOP and anti-glaucoma medications in both groups were comparable pre-operatively (group 1 = 26 ± 10.3 mmHg, group 2 = 23 ± 13.9 mmHg, P = 0.1). The IOP at final follow up between the two groups was not statistically significant (group 1 = 12 ± 3.2 mmHg, group 2 = 14 ± 1.8 mmHg, P = 0.2).The average total time of surgery (group 1 = 40 ± 21.6 min, group 2 = 34 ± 14.8 min, P = 0.4) was not statistical significant between groups. The incidence of post-operative complications were similar in both groups (P = 0.95). Conclusion: Manual small incision cataract surgery with trabeculectomy is noninferior in PXG patients with comparable surgical outcomes, when compared with phacoemulsification with trabeculectomy. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508142/pdf http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=6;spage=1090;epage=1094;aulast=Ramyashri;type=2 |
| Ending Page | 1094 |
| Page Count | 5 |
| Starting Page | 1090 |
| File Format | XHTML |
| ISSN | 03014738 |
| e-ISSN | 19983689 |
| DOI | 10.4103/ijo.ijo_1319_19 |
| Journal | Indian Journal of Ophthalmology |
| Issue Number | 6 |
| Volume Number | 68 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Ophthalmology Cataract Phacoemulsification Pseudo Exfoliation Glaucoma Small Incision Cataract Surgery Trabeculectomy Zonular Dialysis Indian Journal of Ophthalmology, Volume 68, Issue 6 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Ophthalmology |
