A COMPARATIVE STUDY OF EFFECTS OF COMBINED PROCEDURES FOR CATARACT AND GLAUCOMA VERSUS STAGED PROCEDURE ON POSTOPERATIVE INTRAOCULAR PRESSURE

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BEHROUZI Z.; MOLLAEI F.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2003 | Volume:16 | Issue:1 Page(s): 30-35

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Title

A COMPARATIVE STUDY OF EFFECTS OF COMBINED PROCEDURES FOR CATARACT AND GLAUCOMA VERSUS STAGED PROCEDURE ON POSTOPERATIVE INTRAOCULAR PRESSURE

Author(s)

BEHROUZI Z. | MOLLAEI F. | Issue Writer Certificate

Keywords

CATARACTQ4

GLAUCOMAQ3

TRABECULECTOMYQ2

INTRAOCULAR LENSQ4

INTRAOCULAR PRESSUREQ4

Abstract

Background and Objectives: Acute elevations in INTRAOCULAR PRESSURE (lOP) commonly follow extracapsular CATARACT extraction (ECCE) and posterior chamber IOL implantation in GLAUCOMA patients. The objectives of this study were to compare the results and complication rates between trabeculectomies combined with ECCE and posterior chamber IOL implantation versus those with separate procedures.Patients & Methods: This prospective clinical trial involved 38 eyes of 35 patients with CATARACT and coexisting GLAUCOMA. 19 eyes underwent combined extracapsular CATARACT extraction and posterior chamber IOL implantation with TRABECULECTOMY and clear cornea CATARACT surgery performed after successful TRABECULECTOMY in 19 eyes. The age and sex of the patients, GLAUCOMA type, follow up duration, visual acuity, lOP and the number of GLAUCOMA medications was measured and recorded pre- and postoperatively. The results analysed with appropriate statistical tests.Results: At 18.5±12.3 months of follow-up, lOP decreased from 23.4±7 mmHg to 14±4 mmHg in the combined group (p<0.001) and in the clear cornea group, after 22.2±14 months of follow-up, lOP changed from preoperative 11±5.3 mmHg to 15±4 mmHg postoperatively (p<0.01). There was no statistically significant difference in postoperative lOP between two groups. The number of GLAUCOMA medications changed from 1.3±O.99 preoperativelyto 0.84±0.52 postoperatively in combined group and from 0.36±0.77 to 1.11±1.1 in clear cornea group. There were no statistically significant differences in terms of postoperative lOP levels, visual acuity and numbers of postoperative GLAUCOMA medications between the two groups at the final follow up visit. The operation complications; anterior uveitis and hyphaema were more frequent in combined group. However, all of them were well controllable with the current treatments.Conclusion: There were no significant differences in terms of VA, lOP and numbers of postoperative GLAUCOMA medications between the two groups, so the results suggest that combined surgery may be a relatively safe procedure and can be done in CATARACT patients with coexisting GLAUCOMA.

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APA: Copy

BEHROUZI, Z., & MOLLAEI, F.. (2003). A COMPARATIVE STUDY OF EFFECTS OF COMBINED PROCEDURES FOR CATARACT AND GLAUCOMA VERSUS STAGED PROCEDURE ON POSTOPERATIVE INTRAOCULAR PRESSURE. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(1), 30-35. SID. https://sid.ir/paper/53196/en

Vancouver: Copy

BEHROUZI Z., MOLLAEI F.. A COMPARATIVE STUDY OF EFFECTS OF COMBINED PROCEDURES FOR CATARACT AND GLAUCOMA VERSUS STAGED PROCEDURE ON POSTOPERATIVE INTRAOCULAR PRESSURE. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2003;16(1):30-35. Available from: https://sid.ir/paper/53196/en

IEEE: Copy

Z. BEHROUZI, and F. MOLLAEI, “A COMPARATIVE STUDY OF EFFECTS OF COMBINED PROCEDURES FOR CATARACT AND GLAUCOMA VERSUS STAGED PROCEDURE ON POSTOPERATIVE INTRAOCULAR PRESSURE,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 1, pp. 30–35, 2003, [Online]. Available: https://sid.ir/paper/53196/en

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