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Abstract #8561 Published in IGR 5-1
Trabeculectomy and phacoemulsification: one site versus two site approach: a comparative study
Isasi-Saseta MB; Urcelay-Segura JL; Zamora-Barrios J; Ortega-Usobiaga J; Moreno-Garcia-Rubio B; Cortes-Valdes CArchivos de la Sociedad Española de Oftalmologia 2002; 77: 677-680
PURPOSE: To compare the results of combined phacotrabeculectomy by means of a one-site versus a two-site approach. MATERIALS AND METHODS: A retrospective study was performed in 35 glaucomatous patients with a coexisting cataract, treated with one-site (19 cases) or two-site (16 cases) phacotrabeculectomy. Firstly, the effectiveness of both procedures was proved by statisticly analyzing the intraocular pressure (IOP) and visual acuity changes after surgery. Normal distribution, homogeneity and homocedasticity from both groups were checked. Finally, visual acuity, and six-month postoperative IOP, in both groups were compared by means of a mean difference Student t test for independent samples. RESULTS: No statistical differences between the procedures were found (p > 0.05). Also, postoperative complications were similar between groups. CONCLUSIONS: Combined trabeculectomy and phacoemulsification surgery is a useful treatment for glaucomatous patients with coexisting cataract, and provides good visual and ocular pressure results. One-site and two-site surgical approachs provide the same six-month follow-up results.LA: Spanish
Dr. M.B. Isasi-Saseta, Hospital Gregorio Maranon, Madrid, Spain
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
