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Trabeculectomy and phaco-trabeculectomy with and without peripheral iridectomy
Audrey Kaplan-Messas1, Yuval Cohen, Eytan Blumenthal
1Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv - Israel. audreykap@gmail.com
European Journal of Ophthalmology
|March 3, 2009
Summary
Peripheral iridectomy (PI) is not routinely necessary in trabeculectomy or phaco-trabeculectomy, as outcomes are comparable with or without PI. This finding suggests PI may be optional in glaucoma surgery.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Surgical Techniques
Background:
- Trabeculectomy and phaco-trabeculectomy are common glaucoma surgeries.
- Peripheral iridectomy (PI) is often performed concurrently.
- The necessity of PI in these procedures requires further investigation.
Purpose of the Study:
- To compare the 1-year outcomes of trabeculectomy and phaco-trabeculectomy performed with or without a peripheral iridectomy (PI).
Main Methods:
- Prospective randomized study of 47 patients undergoing trabeculectomy or phaco-trabeculectomy.
- Patients were assigned to surgery with or without PI.
- Outcomes measured included intraocular pressure (IOP), success rates, visual acuity (VA), and complications.
Main Results:
- Comparable 1-year complete (70%) and qualified (>90%) success rates were observed in both groups.
- One case of iris incarceration occurred in the no-PI group.
- No other significant complications were noted.
Conclusions:
- Routine peripheral iridectomy (PI) may not be necessary for trabeculectomy and phaco-trabeculectomy.
- Preliminary results indicate comparable outcomes with or without PI.
- Further large-scale studies are warranted to confirm the role of PI in modern glaucoma surgery.
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