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Phacotrabeculectomy: assessment of outcomes and surgical improvements
George J C Jin1, Alan S Crandall, Jason J Jones
1Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84107, USA. georgejin@hotmail.com
Purpose:
To evaluate the outcomes and progress after phacotrabeculectomy at the same clinical setting and/or performed by the same surgeon over the past decade.
Setting:
Eye Institute of Utah, Salt Lake City, Utah, USA.
Methods:
This retrospective study included 60 eyes of 43 patients who had phacotrabeculectomy at a single institute between 1999 and 2005. A modified phacotrabeculectomy surgical technique was used that included a 2-site incision approach, fornix-based flap, use of mitomycin-C, acrylic intraocular lens implantation, sutured scleral and conjunctival flaps, and sutured temporal clear corneal incision.
Results:
Over a mean 30-month follow-up, 57 of the 60 eyes (95%) achieved intraocular pressure (IOP) control (
Conclusions:
The surgical technique used in this study appears to be effective and superior to a previous technique at restoring visual acuity, lowering IOP, and reducing the postoperative complication rate. The observations are relevant in the context of improvements of technique over the past decade.
