AI Article Synopsis
- The study aimed to evaluate the safety and effectiveness of a combined surgery (modified 360-degree suture trabeculotomy with cataract surgery) for patients with glaucoma and cataracts, compared to trabeculotomy alone.
- Conducted at Hokkaido University Hospital, the analysis involved reviewing medical records from two groups of 46 patients each, looking at intraocular pressure (IOP) changes and complications after one year.
- Results showed similar outcomes for both groups, with significant reductions in IOP and high success rates, though some patients experienced transient IOP spikes and hyphema as complications.
Article Abstract
Purpose: To assess the efficacy and safety of a modified 360-degree suture trabeculotomy combined with a cataract surgery technique in patients with glaucoma and coexisting cataract.
Setting: Hokkaido University Hospital, Sapporo, Japan.
Design: Retrospective case series.
Methods: Medical records of patients with glaucoma having a modified 360-degree trabeculotomy combined with cataract surgery (Group 1) were reviewed. Another group of patients who had the modified 360-degree suture trabeculotomy alone served as controls (Group 2).
Results: Both groups comprised 46 patients. In each group, eyes were diagnosed with primary angle-closure glaucoma in 2 eyes, primary open-angle glaucoma in 24 eyes, exfoliation glaucoma in 4 eyes, uveitic glaucoma in 15 eyes, and steroid glaucoma in 1 eye. The mean preoperative intraocular pressure (IOP) values were 27.2 mm Hg ± 7.3 (SD) on 3.0 ± 0.5 medications in Group 1 and 27.7 ± 10.7 mm Hg on 2.9 ± 0.6 medications in Group 2. Twelve months after surgery, the mean IOPs were 13.4 ± 3.7 mm Hg on 0.8 ± 1.1 medications in Group 1 and 13.9 ± 4.1 mm Hg on 0.6 ± 0.9 medications in Group 2. The success rate (<18 mm Hg) at 12 months was 89.1% and 93.5%, respectively. Major complications included transient IOP spikes (30.4% and 37.0%) and prolonged hyphema (10.9% and 6.5%) in Group 1 and Group 2, respectively.
Conclusion: The data showed the equivalent effects of suture trabeculotomy combined with cataract surgery and suture trabeculotomy surgery alone on postoperative safety and efficacy.
Financial Disclosure: None of the authors has a financial or proprietary interest in any material or method mentioned.
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| http://dx.doi.org/10.1016/j.jcrs.2016.08.016 | DOI Listing |
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