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[Comparison between one-site and two-site incision in phacotrabeculectomy]
1Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
[Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology
|January 5, 2002
Summary
Phacotrabeculectomy using either a one-site or two-site approach effectively controls intraocular pressure in patients with soft cataracts. Both surgical methods demonstrate similar outcomes for lowering eye pressure.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Glaucoma Management
Background:
- Phacotrabeculectomy combines cataract extraction with glaucoma surgery.
- Surgical approach (one-site vs. two-site incision) may influence outcomes.
- Effective intraocular pressure (IOP) control is crucial for glaucoma management.
Purpose of the Study:
- To compare the efficacy of one-site versus two-site incision phacotrabeculectomy.
- To evaluate intraocular pressure (IOP) control in patients with soft cataracts.
Main Methods:
- Retrospective review of 45 cases (47 eyes) undergoing phacotrabeculectomy.
- Patients with cataract nuclei Grade III or softer were included.
- Comparison of IOP control between one-site (29 eyes) and two-site (18 eyes) approaches.
Main Results:
- Mean follow-up of 18.9 months.
- One-site group: Mean IOP reduction of 15.32 mmHg.
- Two-site group: Mean IOP reduction of 16.42 mmHg.
- No statistically significant difference in IOP control between the one-site and two-site groups (P > 0.05).
Conclusions:
- Both one-site and two-site phacotrabeculectomy provide effective IOP control.
- The surgical approach does not significantly impact IOP control in patients with soft cataracts.
- Phacotrabeculectomy is a viable option for managing glaucoma and cataracts simultaneously.