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Phacoemulsification vs phacotrabeculectomy in chronic angle-closure glaucoma with cataract: complications [corrected]
Clement C Y Tham1, Yolanda Y Y Kwong, Dexter Y L Leung
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, 147K Argyle St, Kowloon, Hong Kong, China. clemtham@hkstar.com
Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 10, 2010
Summary
Phacoemulsification alone had fewer surgical complications than combined phacotrabeculectomy for chronic angle-closure glaucoma (CACG) with cataract. Visual acuity and disease progression were similar between the two surgical methods.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Cataract Surgery
Background:
- Chronic angle-closure glaucoma (CACG) with coexisting cataract presents a surgical challenge.
- Treatment options include phacoemulsification alone or combined phacotrabeculectomy.
- Comparing complication rates is crucial for patient management.
Purpose of the Study:
- To compare the surgical complications of phacoemulsification alone versus combined phacotrabeculectomy.
- To evaluate outcomes in patients with CACG and coexisting cataract.
Main Methods:
- Pooled analysis of two randomized controlled trials.
- Included patients with medically controlled or uncontrolled intraocular pressure.
- Follow-up of 24 months with assessment of surgical complications, visual acuity, and glaucomatous progression.
Main Results:
- 123 eyes with CACG and cataract were analyzed.
- Phacoemulsification alone group: 8.1% of eyes experienced complications.
- Combined phacotrabeculectomy group: 26.2% of eyes experienced complications (P = .007).
- No significant difference in final visual acuity or glaucomatous progression.
Conclusions:
- Combined phacotrabeculectomy is associated with significantly more surgical complications than phacoemulsification alone in CACG eyes with cataract.
- Phacoemulsification alone is a safer option regarding surgical complications.
- Both procedures yielded similar visual acuity and disease control outcomes.
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