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Information Journal Paper

Title

SINGLE VERSUS TWO-SITE PHACOEMULSIFICATION AND MITOMYCIN-C TRABECULECTOMY

Pages

  111-118

Keywords

Not Registered.

Abstract

 Purpose: To compare the outcomes of single-site versus two-site mitomycin-C (MMC) augmented phacotrabeculectomy.Methods: This matched randomized clinical trial included 34 eyes of 30 patients with visually significant cataracts and poorly controlled glaucoma. Equal numbers of eyes were randomly assigned to the single-site and two-site groups. In the single-site approach, phacoemulsification was performed under a superior scleral tunnel followed by trabeculectomy. The two-site approach included a temporal clear corneal phacoemulsification combined with a separate superior trabeculectomy. MMC 0.2 mg/ml was similarly applied for one minute in both groups.Results: Patients were followed for a mean period of 13±1.4 (range, 12 to 15) months. Mean best corrected visual acuity one year after surgery was 0.6±0.4 LogMAR in the single-site group and 0.4±0.28 LogMAR in the two-site group (P=0.12). In the single-site group, mean preoperative intraocular pressure (IOP) was 26.4±6.6 mmHg which was decreased to 14.8±2.5 mmHg, one year after the operation (P<0.001). Corresponding figures for the two-site group were 22.9±3.3 and 13.6±1.7 mmHg respectively (P<0.001). At final follow up no significant difference in IOP existed between the study groups. Mean number of anti-glaucoma medications was 0.06±0.24 in the two-site group vs 0.43±0.5 in the single-site group (P=0.014). The rate of complications was not different between the study groups (P=1).Conclusions: Both single-site and two-site phacotrabeculectomy improved visual acuity which was slightly, but not significantly, better with two-site surgery. Final IOP was comparable with both techniques; however, the two-site group required fewer antiglaucoma medications.

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    Cite

    APA: Copy

    BARADARAN RAFIEI, ALI REZA, YAZDANI, SHAHIN, FEYZI, SEPEHR, & PAKRAVAN, MOHAMMAD. (2007). SINGLE VERSUS TWO-SITE PHACOEMULSIFICATION AND MITOMYCIN-C TRABECULECTOMY. JOURNAL OF OPHTHALMIC AND VISION RESEARCH, 2(2), 111-118. SID. https://sid.ir/paper/311309/en

    Vancouver: Copy

    BARADARAN RAFIEI ALI REZA, YAZDANI SHAHIN, FEYZI SEPEHR, PAKRAVAN MOHAMMAD. SINGLE VERSUS TWO-SITE PHACOEMULSIFICATION AND MITOMYCIN-C TRABECULECTOMY. JOURNAL OF OPHTHALMIC AND VISION RESEARCH[Internet]. 2007;2(2):111-118. Available from: https://sid.ir/paper/311309/en

    IEEE: Copy

    ALI REZA BARADARAN RAFIEI, SHAHIN YAZDANI, SEPEHR FEYZI, and MOHAMMAD PAKRAVAN, “SINGLE VERSUS TWO-SITE PHACOEMULSIFICATION AND MITOMYCIN-C TRABECULECTOMY,” JOURNAL OF OPHTHALMIC AND VISION RESEARCH, vol. 2, no. 2, pp. 111–118, 2007, [Online]. Available: https://sid.ir/paper/311309/en

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