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[Trabeculotomy and cataract-extraction: simultaneously or step by step? (author's transl)]

R Dannheim, A Hetzinger

    Klinische Monatsblatter Fur Augenheilkunde
    |October 1, 1978
    PubMed
    Summary
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    [The influence of healing on the long-term effect of trabeculotomy in primary open angle glaucoma (author's transl)].

    Klinische Monatsblatter fur Augenheilkunde·1978

    Combined procedures and trabeculotomy showed similar complications for glaucoma. Trabeculotomy required more subsequent surgeries, while combined procedures slightly improved visual acuity but risked visual field deterioration.

    Area of Science:

    • Ophthalmology
    • Surgical Innovation
    • Glaucoma Management

    Background:

    • Glaucoma treatment often involves surgical intervention to manage intraocular pressure.
    • Different surgical techniques exist, each with potential benefits and drawbacks.

    Purpose of the Study:

    • To compare the long-term outcomes of combined procedures versus trabeculotomy in glaucoma patients.
    • To evaluate operative complications, intraocular pressure control, visual acuity, and visual field progression.

    Main Methods:

    • A comparative study involving 64 eyes undergoing combined procedures (Group I) and 67 aphacic eyes undergoing trabeculotomy (Group II).
    • Patients were followed for 6 months to 10 years post-surgery.
    • Assessment included operative/postoperative complications, intraocular pressure, visual acuity, and visual field status.

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    Main Results:

    • No significant differences in operative or postoperative complications were observed between the two groups.
    • Intraocular pressure was controlled in 65-91% of primary open-angle glaucoma cases in both groups.
    • Group I showed slightly better visual acuity but a higher rate of visual field deterioration despite controlled intraocular pressure.
    • Group II required more subsequent glaucoma surgeries compared to Group I.

    Conclusions:

    • Both combined procedures and trabeculotomy are viable glaucoma surgeries with comparable complication rates.
    • Combined procedures may offer a slight visual acuity advantage but carry a risk of visual field loss.
    • Trabeculotomy might necessitate further surgical intervention more frequently than combined procedures.