Phacotrabeculectomy Versus Conventional Combined Technique in Coexisting Glaucoma and Cataract

Area of Science:

• Ophthalmology
• Surgical Innovation
• Glaucoma Research

Background:

• Coexisting primary open angle glaucoma and cataracts present a surgical challenge.
• Combined surgical procedures aim to address both conditions simultaneously.
• Evaluating novel techniques is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the efficacy of single-site phacotrabeculectomy versus conventional combined surgery.
• To assess postoperative complications, intraocular pressure (IOP) control, and visual outcomes.
• To determine the long-term effectiveness of each surgical approach.

Main Methods:

• A prospective study involving 50 patients with primary open angle glaucoma and cataracts.
• Patients were divided into two groups: 25 undergoing single-site phacotrabeculectomy and 25 undergoing conventional combined surgery.
• Outcomes were evaluated over a 12-18 month follow-up period, focusing on complications, IOP, and vision.

Main Results:

• Both procedures showed no significant difference in the incidence or pattern of postoperative complications.
• Single-site phacotrabeculectomy demonstrated more effective and sustained intraocular pressure control.
• Conventional combined surgery had a higher rate of failure in maintaining optimal IOP without beta-blockers.

Conclusions:

• Single-site phacotrabeculectomy is an effective alternative for managing combined glaucoma and cataract.
• This technique provides adequate and sustained intraocular pressure control.
• Phacotrabeculectomy leads to effective visual recovery, comparable or superior to conventional methods.