Comparative study of endothelial cell loss in trabeculectomy with combined small incision cataract surgery (SICS), trabeculectomy procedure and temporal small incision cataract surgery (SICS) alone
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 2
Abstract
When a patient suffers from coexisting cataract and glaucoma the choice of surgery may be a combined procedure of cataract extraction and trabeculectomy as a onestage procedure or trabeculectomy first to restore visual rehabilitation and to prevent progressive optic nerve damage The main purpose of this study was to evaluate the endothelial cell loss in trabeculectomy with small incision cataract surgery SICS against trabeculectomy and SICS aloneMaterials and Methods This study was conducted on 90 eyes divided into 3 groups among whom 30 cases underwent trabeculectomy through a superior incision 30 cases underwent SICS with PCIOL implantation with trabeculectomy through a common superior incision and 30 patients underwent manual SICS with PCIOLThe corneal endothelial cell count and loss was assessed on first postoperative day 1st week 1st month and at 3 months IOP was assessed on postoperative 1st week 1st month and at 3 monthsResults The endothelial cell loss was more in combined SICS with trabeculectomy group than trabeculectomy group aloneConclusion Preoperative evaluation of endothelial cell count must be considered and adequate intraoperative and postoperative measures should be taken to avoid cell loss However to avoid further endothelial cell loss due to a two staged surgery a combined procedure would be a better choice Combined SICS with trabeculectomy would also reduce the economical burden postoperative morbidity and the visits of patient to operation theatreKeywords Cataract Endothelial cell loss Glaucoma SICS Trabeculectomy
Authors and Affiliations
Sonali Pote, Rupali Maheshgauri, R. Magdum, Gira Raninga, Saurabh Ashtamkar
Keywords
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- EP ID EP474205
- DOI 10.18231/2395-1451.2018.0044
- Views 92
- Downloads 0
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