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[Trabeculectomy and phacoemulsification. One site vs. two site approach. A comparative study].

M B Isasi-Saseta1, J L Urcelay-Segura, J Zamora-Barrios

  • 1Hospital Gregorio Marañón, Madrid, España.

Archivos De La Sociedad Espanola De Oftalmologia
|December 10, 2002
PubMed
Summary

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Combined phacotrabeculectomy surgery for glaucoma and cataract offers good results. Both one-site and two-site surgical approaches yield similar outcomes and complication rates at six months.

Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Glaucoma Management

Background:

  • Glaucoma and cataracts frequently coexist in patients.
  • Combined surgery offers a solution for visual impairment and intraocular pressure (IOP) control.
  • Surgical approach variations may impact outcomes.

Purpose of the Study:

  • To compare the efficacy of one-site versus two-site phacotrabeculectomy.
  • To evaluate visual acuity and IOP outcomes post-surgery.
  • To assess complication rates between the two surgical approaches.

Main Methods:

  • Retrospective study of 35 patients with glaucoma and cataract.
  • Patients underwent either one-site (19) or two-site (16) phacotrabeculectomy.
  • Statistical analysis (t-Student test) of IOP and visual acuity at 6 months.

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Main Results:

  • No statistically significant differences in IOP or visual acuity between one-site and two-site approaches (p>0.05).
  • Postoperative complication rates were similar in both groups.
  • Both surgical methods demonstrated effectiveness in managing glaucoma and cataract.

Conclusions:

  • Combined phacotrabeculectomy is effective for patients with coexisting glaucoma and cataract.
  • One-site and two-site approaches provide comparable 6-month outcomes.
  • The choice of surgical approach does not significantly alter visual or IOP results.