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Phacoviscocanalostomy for open-angle glaucoma with concomitant age-related cataract
Alexandros N Stangos1, Anestis Mavropoulos, Gordana Sunaric-Megevand
1Division of Ophthalmology, Department of Clinical Neurosciences, University Hospitals of Geneva, Geneva, Switzerland.
Clinical Ophthalmology (Auckland, N.Z.)
|August 12, 2009
Summary
Phacoviscocanalostomy effectively lowers intraocular pressure in open-angle glaucoma patients with cataracts. This combined surgery offers a safe and successful treatment option, reducing the need for medication in many cases.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Cataract Surgery
Background:
- Open-angle glaucoma (OAG) is a leading cause of irreversible blindness.
- Medically uncontrolled OAG requires effective surgical interventions.
- Concomitant age-related cataracts often necessitate combined surgical approaches.
Purpose of the Study:
- To evaluate the efficacy and safety of combined viscocanalostomy and phacoemulsification (phacoviscocanalostomy).
- To assess the surgical outcomes for patients with medically uncontrolled OAG and age-related cataract.
Main Methods:
- A prospective, noncomparative, interventional case-series study.
- Phacoviscocanalostomy was performed on 50 eyes of 50 patients.
- Surgical success defined by IOP reduction (>30%), IOP
Main Results:
- Mean follow-up was 29 months.
- Mean intraocular pressure (IOP) significantly decreased from 23.51 mmHg to 14.06 mmHg (p < 0.001).
- Overall success rates were 94% (12 months), 92% (24 months), and 82% (36 months); complete success rates were 74% (12 months), 67% (24 months), and 67% (36 months).
Conclusions:
- Phacoviscocanalostomy is an efficient and safe surgical option.
- It provides significant IOP reduction in medically uncontrolled OAG with cataracts.
- The procedure demonstrates favorable long-term outcomes without serious complications.
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