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A Descriptive Study on Visual Outcome and Intraocular Pressure Control after Trabeculectomy with Manual Small
Gajaraj T Naik1, Prashanthkumar Achar1, S H Kripalini2
1Department of Ophthalmology, Karwar Institute of Medical Sciences, Karwar, Karnataka, India.
Journal of Pharmacy & Bioallied Sciences
|September 16, 2022
Summary
Combined trabeculectomy with cataract surgery improves visual outcomes and lowers intraocular pressure in glaucoma patients. Individualized treatment is recommended based on patient presentation for optimal results.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Glaucoma Management
Background:
- Glaucoma is an optic neuropathy with multifactorial causes.
- Cataract and glaucoma can impact each other's management.
- Combined surgical approaches are being explored for co-existing conditions.
Purpose of the Study:
- To evaluate visual outcomes after combined trabeculectomy and cataract surgery.
- To assess intraocular pressure control in patients undergoing this combined procedure.
- To determine the efficacy of combined surgery for managing both glaucoma and cataract.
Main Methods:
- A descriptive interventional study was conducted over two years.
- Patients with significant cataract and diagnosed glaucoma were included.
- Combined trabeculectomy and cataract surgery was performed, followed by comprehensive postoperative follow-up and statistical analysis.
Main Results:
- Postoperative vision improved significantly, with 76.7% achieving 6/9 or better vision by 6 weeks.
- Mean intraocular pressure (IOP) decreased substantially in both primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) patients.
- POAG patients showed a mean IOP reduction to 12.72mmHg by 6 months, while PACG patients had IOPs around 17.25mmHg.
Conclusions:
- Combined trabeculectomy with cataract surgery demonstrates favorable postoperative visual outcomes.
- The procedure effectively controls intraocular pressure in patients with co-existing glaucoma and cataract.
- Patient-specific factors necessitate individualized treatment approaches for optimal surgical success.
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