Combined cataract surgery and trabeculectomy - modified technique - benefits and outcome
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 2
Abstract
Background: Cataract and Glaucoma coexist in a single individual. Combined Cataract and Trabeculectomy Surgery has become the order of the day. Aims and objectives: 1. To develop a simple and effective technique in surgical treatment for Cataract and Glaucoma.2. To make it easier to transform from being a Cataract surgeon alone to a combined Cataract and Glaucoma Surgeon. Materials and Methods: 20 Patients diagnosed as Cataract and Primary Open Angle Glaucoma were subjected for the study. Randomly 10 patients underwent the two site procedure and other 10 patients were subjected to the modified single site surgery. IOP measurement before surgery and 45 days after surgery was done in either group. The mean Intraocular pressure before and after surgery recorded to arrive at the results. Filtering bleb formation, Intraoperative and postoperative complication are noted. Observations and Results: 10% more reduction in IOP achieved in single site surgery compared to two site surgery. The complications was found to be none in single site surgery compared to two site surgery. The incidence of Filtering bleb formation during the immediate post-operative perodin the single site procedure is much better than two site surgery. Conclusion: The single site combined cataract surgery and trabeculectomy is as effective an technique as the other surgical techniques in reducing the intraocular pressure to the desired level. In single site Surgery, learning curve is shorter and even the skillful experienced surgeons will find this technique easier and less time consuming without any complications.
Authors and Affiliations
Raja Rengaraj, Sivakumar Veerasamy
Keywords
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- EP ID EP536245
- DOI 10.26611/1009929
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