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Phacotrabeculectomy without peripheral iridectomy.

T D Manners1, K Mireskandari

  • 1Department of Ophthalmology, West Norwich Hospital, Norwich, United Kingdom.

Ophthalmic Surgery and Lasers
|October 3, 1999
PubMed
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Phacotrabeculectomy without peripheral iridectomy is safe and effective for glaucoma management. This approach successfully lowered intraocular pressure and improved vision with no related complications.

Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Cataract Surgery

Background:

  • Peripheral iridectomy is a standard procedure in glaucoma drainage surgery.
  • This study investigates omitting iridectomy in phacotrabeculectomy combined with small-incision cataract surgery.

Purpose of the Study:

  • To evaluate the safety and efficacy of phacotrabeculectomy without peripheral iridectomy.
  • To assess visual acuity, intraocular pressure control, and complication rates.

Main Methods:

  • A standardized phacotrabeculectomy was performed on 25 consecutive patients by a single surgeon.
  • Outcome measures included visual acuity, intraocular pressure, and complications.
  • Mean follow-up was 12.2 months.

Main Results:

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  • No complications were associated with the absence of peripheral iridectomy.
  • Intraocular pressure decreased from a mean of 23.4 mm Hg to 15.4 mm Hg at 12.2 months.
  • Best Snellen visual acuity improved by an average of 1.5 lines.

Conclusions:

  • Phacotrabeculectomy without peripheral iridectomy is a safe alternative.
  • A corneal fistula and careful management of postoperative fluid are necessary.
  • The success rate and low complication profile are comparable to other series.