PHACOTRABECULECTOMY WITH INTRAOCULAR LENS (IOL) IMPLANTATION IN PATIENTS WITH COEXISTING PSEUDOEXFOLIATIVE GLAUCOMA AND CATARACT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 33
Abstract
PURPOSE To evaluate the efficacy of phacotrabeculectomy with Intraocular Lens (IOL) implantation in patients with pseudoexfoliative glaucoma. MATERIAL AND METHODS This study included 46 eyes of 46 patients diagnosed with pseudoexfoliative glaucoma and clinically significant cataract. All eyes underwent phacotrabeculectomy with intra ocular lens implantation. Efficacy was measured by evaluating the changes in mean intraocular pressure, mean logMar BCVA, drug number, bleb status and complications. RESULT Postoperative reduction of IOP was very satisfactory for the whole group. The mean pre-operative IOP±SD was 31.27±7.82 mmHg. After the procedure, the mean IOP decreased to a level of 14.05±4.22 mmHg at first week and 13.68±9.27 mmHg at 1 month. The mean IOP values at 3 months were 13.77±3.52 and 14.12±3.19 mmHg at 6 months. The mean IOP at final visit was 14.57±3.44 mmHg. The mean value of pre-operative logMAR BCVA was 0.98±45. It improved to a mean value of logMAR BCVA 0.36±37 at one month, logMAR BCVA 0.37±37 at 6 months and logMAR BCVA 0.39±65 at the final visit after one year. CONCLUSION Phacoemulsification, IOL implantation and trabeculectomy is an efficacious and safe procedure for treating eyes with co-existing pseudoexfoliation glaucoma and cataract.
Authors and Affiliations
Arshi , Ejaz , Syed Qureshi, Anshulee , Tania
Keywords
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- EP ID EP112578
- DOI 10.14260/jemds/2016/424
- Views 63
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