Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery

Purpose: to compare the efficacy of existing glaucoma surgery after phacoemulsification (PE) and femtosecond PE (femtoPE).Patients and methods. Study included 30 patients (30 eyes) who have undergone a non-penetrative glaucoma surgery with Burrato II cataract. Patients were evenly distributed to the...

Full description

Saved in:
Bibliographic Details
Main Authors: N. Yu. Yusef, G. V. Voronin, M. K. Bersunkaev, A. V. Volzhanin
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2025-03-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/2580
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849774071664869376
author N. Yu. Yusef
G. V. Voronin
M. K. Bersunkaev
A. V. Volzhanin
author_facet N. Yu. Yusef
G. V. Voronin
M. K. Bersunkaev
A. V. Volzhanin
author_sort N. Yu. Yusef
collection DOAJ
description Purpose: to compare the efficacy of existing glaucoma surgery after phacoemulsification (PE) and femtosecond PE (femtoPE).Patients and methods. Study included 30 patients (30 eyes) who have undergone a non-penetrative glaucoma surgery with Burrato II cataract. Patients were evenly distributed to the PE and femtoPE groups. Cataract surgery was performed from 3 months to 1 year after glaucoma surgery. Intraocular pressure (IOP) was evaluated before surgery, on week 1, months 1, 3, and 6.Results. Baseline IOP was comparable in both groups: 17,5 ± 1,3 mmHg in a PE group and 17,9 ± 1,5 mmHg in a femtoPE group. In a PE group a statistically significant IOP increase happened on week 1 and month 1, in a femtoPE group it happened only on week 1. In comparison to the femtoPE group, the PE group was associated with bigger IOP increase after 1 week and 1 month (week 1: 17,0 ± 3,6 and 13,2 ± 1,9 mmHg, respectively; month 1: 13,5 ± 2,2 and 13,0 ± 0,7 mmHg, respectively). In months 3 and 6, there was no intergroup difference (12,2 ± 2,1 and 12,5 ± 1,6 mmHg, respectively; 13,3 ± 1,0 and 12,1 ± 1,8 mmHg, respectively). In all follow-up terms amount of hypotensive eyedrops was bigger in the PE group.Conclusion. FemtoPE is safer than PE in eyes with previous glaucoma surgery. Such eyes are more likely to require hypotensive therapy after PE, rather than after femtoPE, for IOP compensation.
format Article
id doaj-art-2a8a01bd5961403ca98ea7cf6d45304b
institution DOAJ
issn 1816-5095
2500-0845
language Russian
publishDate 2025-03-01
publisher Ophthalmology Publishing Group
record_format Article
series Oftalʹmologiâ
spelling doaj-art-2a8a01bd5961403ca98ea7cf6d45304b2025-08-20T03:01:51ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452025-03-01221697310.18008/1816-5095-2025-1-69-731227Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma SurgeryN. Yu. Yusef0G. V. Voronin1M. K. Bersunkaev2A. V. Volzhanin3M.M. Krasnov Research Institute of Eye DiseasesM.M. Krasnov Research Institute of Eye DiseasesM.M. Krasnov Research Institute of Eye DiseasesM.M. Krasnov Research Institute of Eye DiseasesPurpose: to compare the efficacy of existing glaucoma surgery after phacoemulsification (PE) and femtosecond PE (femtoPE).Patients and methods. Study included 30 patients (30 eyes) who have undergone a non-penetrative glaucoma surgery with Burrato II cataract. Patients were evenly distributed to the PE and femtoPE groups. Cataract surgery was performed from 3 months to 1 year after glaucoma surgery. Intraocular pressure (IOP) was evaluated before surgery, on week 1, months 1, 3, and 6.Results. Baseline IOP was comparable in both groups: 17,5 ± 1,3 mmHg in a PE group and 17,9 ± 1,5 mmHg in a femtoPE group. In a PE group a statistically significant IOP increase happened on week 1 and month 1, in a femtoPE group it happened only on week 1. In comparison to the femtoPE group, the PE group was associated with bigger IOP increase after 1 week and 1 month (week 1: 17,0 ± 3,6 and 13,2 ± 1,9 mmHg, respectively; month 1: 13,5 ± 2,2 and 13,0 ± 0,7 mmHg, respectively). In months 3 and 6, there was no intergroup difference (12,2 ± 2,1 and 12,5 ± 1,6 mmHg, respectively; 13,3 ± 1,0 and 12,1 ± 1,8 mmHg, respectively). In all follow-up terms amount of hypotensive eyedrops was bigger in the PE group.Conclusion. FemtoPE is safer than PE in eyes with previous glaucoma surgery. Such eyes are more likely to require hypotensive therapy after PE, rather than after femtoPE, for IOP compensation.https://www.ophthalmojournal.com/opht/article/view/2580phacoemulsificationfemtolaserintraocular pressurecataract extractionglaucoma
spellingShingle N. Yu. Yusef
G. V. Voronin
M. K. Bersunkaev
A. V. Volzhanin
Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
Oftalʹmologiâ
phacoemulsification
femtolaser
intraocular pressure
cataract extraction
glaucoma
title Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
title_full Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
title_fullStr Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
title_full_unstemmed Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
title_short Effect of Phacoemulsification Subtype on the Efficacy of Previously Performed Glaucoma Surgery
title_sort effect of phacoemulsification subtype on the efficacy of previously performed glaucoma surgery
topic phacoemulsification
femtolaser
intraocular pressure
cataract extraction
glaucoma
url https://www.ophthalmojournal.com/opht/article/view/2580
work_keys_str_mv AT nyuyusef effectofphacoemulsificationsubtypeontheefficacyofpreviouslyperformedglaucomasurgery
AT gvvoronin effectofphacoemulsificationsubtypeontheefficacyofpreviouslyperformedglaucomasurgery
AT mkbersunkaev effectofphacoemulsificationsubtypeontheefficacyofpreviouslyperformedglaucomasurgery
AT avvolzhanin effectofphacoemulsificationsubtypeontheefficacyofpreviouslyperformedglaucomasurgery