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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
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New options for combined cataract and glaucoma surgery
Donald L Budenz1, Steven J Gedde
1aDepartment of Ophthalmology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina bBascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Current Opinion in Ophthalmology
|January 7, 2014
Summary
New glaucoma surgeries combined with cataract surgery offer lower complication risks but may be less effective than traditional trabeculectomy. Further research is needed to confirm their efficacy and safety.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Cataract and glaucoma often require concurrent surgical management.
- Advances in surgical techniques allow combining cataract extraction with glaucoma procedures.
Purpose of the Study:
- To review the literature on new surgeries combined with phacoemulsification for cataract and glaucoma.
- To assess the effectiveness and risks of these combined procedures.
Main Methods:
- Literature review of current studies.
- Analysis of surgical options including endoscopic cyclophotocoagulation, trabecular micro-bypass stent, ab interno trabeculectomy, and canaloplasty.
- Evaluation of studies combining these with phacoemulsification.
Main Results:
- Newer glaucoma procedures (endoscopic cyclophotocoagulation, trabecular micro-bypass stent, ab interno trabeculectomy, canaloplasty) can be combined with phacoemulsification for intraocular pressure (IOP) reduction.
- Current studies are mostly retrospective case series, limiting definitive efficacy assessment.
- Cataract surgery alone reduces IOP, complicating the evaluation of the glaucoma procedure's contribution.
Conclusions:
- Newer combined glaucoma procedures appear less effective than trabeculectomy.
- These newer procedures are associated with a lower risk of surgical complications.
- Randomized clinical trials are necessary to definitively evaluate the efficacy and safety of combined cataract and newer glaucoma surgeries.
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