Title

Combined Phacoemulsification and Trabeculectomv Versus Trabeculectomy Alone: A Comparison Study Using Mitomycin C

Document Type

Article

Publication Date

12-1-1997

Description

Purpose The suigical management o] coexisting cataiael and glaucoma is contioveisial We compared patients \\ho underwent combined trabeculeciomv and phacoemulsification (PEM/TRAB) with trabeculeetomy alone(TRAB) to assess long-term intraocular pressure! IOP) control Methods We retrospectsely ievieued 42 eves m îS consécutive patients who underwent combined PHM/TRAB w ith milomycm C An aged-matched control group of 42 patients who underwent TRAB with mituim cm C during the same time period \x as randornU selected from 248 consecutn e patients All patients had a minimum of 12 months folio -up Results Mean preoperaiive IOP, and number of glaucoma médications were sinulai tin ihetn groups (22.S ±6 9 mm Hg vs 22 9 ±6 S mm Hg. 2 12 ±8 \s 2 26 ±1 medications combined ITMATRAH vs TRAB, respectively) Postoperative K >P uas signiticanth louer at all follow-up intervals At final follow-up after a mean 21 S ±6 months, IOP a\ craped 13 V ±5 1 mm I Ig in the I'FM/TRAIi group and 12 3 ±47 mm Hg in the TRAB group Bleb sun ival was excellent m holh groups, although slightly higher m the TRAB grour.(37/42 PKM/TRAH vs 41/42 TRAJI) Both groups required significantly fewer glaucoma medications at final follow-up( 3b± 6 vs 5 ± X TRAB/PHM vs TRAB) Complications were relatively minor and similar between the two groups Conclusions. The success rates for combined PliM/TRAB using small incisions and limhus-based conjunctival Haps appear to approach those of TRAB alone.

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