Phacotrabeculectomy in Treatment of Primary Angle-closure Glaucoma and Primary Open-angle Glaucoma |
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Authors: | Email author" target="_blank">Jimmy SM?LaiEmail author Clement CY?Tham Jonathan CH?Chan Dennis SC?Lam |
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Institution: | (1) Department of Ophthalmology, United Christian Hospital, Kowloon, Hong Kong;(2) Department of Ophthalmology, Alice Ho Mui Ling Nethersole Hospital, Tai Po, Hong Kong;(3) Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Kowloon, Hong Kong;(4) Department of Ophthalmology, United Christian Hospital, Hip Wo Street, Kwun Tong, Kowloon, Hong Kong |
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Abstract: | Purpose To evaluate the surgical outcome of combined phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy (phacotrabeculectomy) in patients with primary angle-closure glaucoma (PACG) or primary open-angle glaucoma (POAG).Methods The records of 57 consecutive patients (65 eyes) with PACG or POAG that were treated with phacotrabeculectomy were reviewed retrospectively. There were 31 eyes with PACG and 34 with POAG. The mean follow-up period was 21.0 ± 8.3 months. The visual acuity, intraocular pressure (IOP), number of medications, and complications were evaluated.Results The mean IOP and the number of glaucoma medications decreased significantly after phacotrabeculectomy in both groups. The mean IOP reduction was significantly greater in eyes with PACG (P < 0.05). The absolute success rates were 87.1% and 70.6% in PACG and POAG, respectively. The difference in the success rates was not significant (P = 0.297). The early postoperative complication rates were similar in both groups.Conclusions Phacotrabeculectomy results in greater IOP reduction in eyes with PACG than in those with POAG, but the overall success rates were not significantly different. Jpn J Ophthalmol 2004;48:408–411 © Japanese Ophthalmological Society 2004 |
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Keywords: | angle-closure glaucoma glaucoma open-angle glaucoma phacotrabeculectomy |
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