Single Sitting Same Site Sutureless Phacotrabeculectomy Without Scleral Punch
Background: The incidence of glaucoma and cataract increases with age but the combined disease has become more common due to an increase in life expectancy. As combined phacotrabeculectomy has become the treatment of choice for coexisting cataract and glaucoma in recent years, we have introduced a n...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-04-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_29_23 |
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| Summary: | Background:
The incidence of glaucoma and cataract increases with age but the combined disease has become more common due to an increase in life expectancy. As combined phacotrabeculectomy has become the treatment of choice for coexisting cataract and glaucoma in recent years, we have introduced a new technique of single sitting same site suture less phacotrabeculectomy without the scleral punch in patients with comorbidity of cataract and glaucoma. It is quite safe and effective procedure for the control of intraocular pressure and visual rehabilitation in these patients with both diseases together. This combined surgery does not require any additional equipment and is economical, with lesser complications and faster visual recovery.
Aim:
To study the effectiveness, and conplication of single site combined phaco-trabeculectomy procedure in eyes with glaucoma.
Material and Method:
Interventional study on 25 patients with advanced glaucoma and cataract underwent single site Phaco-trabeculectomy surgery under local anaesthesia. Postoperative Followups done on day 1, 5,15,30 2months and 6months for vision, IOP control and any post operative complications was done.
Results:
An average IOP drop of 25% was noted at 1month follow up with a maintance of IOP at long term 6 month follow up. NO intraoperative complications were seen,however, low IOP was seen in 3 out of 25 patients in the initial 1 week followup which recovered spontaneously.
Conclusion:
This technique being simpler can be adopted in routine by all as a primary surgical procedure in patients with combined cataract and glaucoma. |
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| ISSN: | 0972-0200 2454-2784 |