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Comparison between phaco-deep sclerectomy converted into phaco-trabeculectomy and uneventful phaco-deep sclerectomy
G Rebolleda1, F J Muñoz-Negrete
1Hospital Ramón y Cajal, Ophthalmology Department, Glaucoma Unit, University of Alcalá, Madrid, Spain. grebolleda@telefonica.net
European Journal of Ophthalmology
|June 10, 2005
Summary
Phaco-deep sclerectomy converted to phaco-trabeculectomy offers better intraocular pressure control but increases complications and delays visual recovery compared to uneventful phaco-deep sclerectomy.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Cataract Surgery
Background:
- Phaco-deep sclerectomy (DS) is a surgical technique for glaucoma management.
- Intraoperative complications can necessitate conversion to alternative procedures like phaco-trabeculectomy.
Purpose of the Study:
- To compare the outcomes and complications of phaco-DS converted to phaco-trabeculectomy versus uneventful phaco-DS.
- Evaluate intraocular pressure (IOP), visual acuity, and medication needs.
Main Methods:
- Retrospective review of 106 eyes undergoing phaco-DS.
- Comparison between 96 eyes with uneventful phaco-DS and 10 eyes converted to phaco-trabeculectomy due to intraoperative macroperforation.
Main Results:
- Converted phaco-trabeculectomy group showed significantly lower postoperative IOP (p<0.05).
- Uneventful phaco-DS group had faster visual acuity improvement (p<0.05) but required more glaucoma medications (p=0.014).
- Higher rates of hyphema and choroidal detachment were observed in the converted group (p=0.002, p=0.027).
Conclusions:
- Phaco-DS conversion to phaco-trabeculectomy provides superior midterm IOP control.
- This conversion strategy is associated with increased early postoperative complications and slower visual recovery.