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Ab interno trabeculotomy combined with cataract extraction in eyes with primary open-angle glaucoma. | LitMetric

AI Article Synopsis

  • The study aimed to evaluate the effectiveness and safety of a combined surgical approach using ab interno trabeculotomy and cataract extraction for patients with primary open-angle glaucoma (POAG).
  • Patients' visual acuity, intraocular pressure, medication usage, and complications were monitored before and after the procedure at various intervals.
  • The results showed significant reductions in intraocular pressure and the number of glaucoma medications, along with improvements in visual acuity, confirming that this combined technique is both effective and safe for treating POAG.

Article Abstract

Objective: To investigate the efficacy and safety of ab interno trabeculotomy using the VISCO360® Viscosurgical System (Sight Sciences, Inc., Menlo Park, CA, USA) combined with cataract extraction in the treatment of primary open-angle glaucoma (POAG).

Methods: Patients with POAG who underwent ab interno trabeculotomy combined with cataract extraction were retrospectively analyzed. Best-corrected visual acuity (BCVA), intraocular pressure (IOP), the number of antiglaucomatous medications, and complications were recorded preoperatively and 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years postoperatively.

Results: Thirty-four patients (40 eyes) with POAG were included in this study, including 20 men (22 eyes) and 14 women (18 eyes). Compared with the preoperative IOP, the postoperative IOP was significantly lower at each time point. The greatest reduction in IOP was 60.7% at 1 month after surgery. The BCVA was also significantly improved at each postoperative time point. The number of antiglaucomatous medications used by the patients was significantly lower postoperatively than preoperatively.

Conclusion: Ab interno trabeculotomy combined with cataract extraction is effective and safe for treatment of POAG.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513393PMC
http://dx.doi.org/10.1177/0300060520957447DOI Listing

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