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Longterm results of one-site phacotrabeculectomy
Carlo Cagini1, Paola Murdolo, Raffaella Gallai
1Department of Ophthalmology, University of Perugia, Italy. carlocagini@hotmail.com
Purpose:
To evaluate results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation.
Methods:
A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 +/- 12.3 months (range 12-46 months).
Results:
Preoperative mean intraocular pressure (IOP) (25.1 +/- 8.6 mmHg) dropped significantly, to 16.4 +/- 1.3 mmHg 1 year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 +/- 0.49 to 0.22 +/- 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%) we successfully performed scleral flap revision to achieve IOP control.
Conclusion:
One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.