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Abstract #15609 Published in IGR 1-3
Combined cataract and glaucoma surgery: trabeculectomy versus endoscopic laser cycloablation
Gayton JL; Van Der Karr M; Sanders VJournal of Cataract and Refractive Surgery 1999; 25: 1214-1219
PURPOSE: To determine whether combined cataract surgery with endoscopic laser cycloablation produces less inflammation than cataract surgery combined with a filtering procedure. SETTING: Taylor Regional Hospital (surgeries) and EyeSight Associates (examinations), Warner Robins, GA. METHODS: A randomized prospective study was conducted of 58 eyes of 58 patients comparing endoscopic laser cycloablation performed through a cataract incision at the time of cataract surgery with combined trabeculectomy and cataract surgery. RESULTS: Mean follow-up was two years. At the final available visit, 30% of endoscopic laser patients achieved intraocular pressure control (below 19 mmHg) without medication and 65% with medication. Forty percent of trabeculectomy patients achieved control without medication and 52% with medication. Four endoscopic laser patients (14%) and three trabeculectomy patients (10%) were considered treatment failures (required additional surgical intervention). CONCLUSIONS: Endoscopic laser cycloablation performed through a cataract incision was a reasonably safe and effective alternative to combined cataract and trabeculectomy surgery, providing an option for cataract patients who have glaucoma requiring surgical intervention.
Dr. J.L. Gayton, EyeSight Associates, Warner Robins, GA; USA
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
