A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno
Aim. To improve the efficacy of cataract and primary open-angle glaucoma (POAG) surgery using a novel combined surgical technique.Materials and methods. 219 patients were included in the study. According to the design, all subjects weredivided into study group (n = 58) and two control groups (n = 78...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2014-07-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/32 |
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| author | V. N. Trubilin N. A. Kaira |
| author_facet | V. N. Trubilin N. A. Kaira |
| author_sort | V. N. Trubilin |
| collection | DOAJ |
| description | Aim. To improve the efficacy of cataract and primary open-angle glaucoma (POAG) surgery using a novel combined surgical technique.Materials and methods. 219 patients were included in the study. According to the design, all subjects weredivided into study group (n = 58) and two control groups (n = 78 and n = 83). Combined phaco and vacuum trabeculoplasty (VTP) ab interno was performed in 58 study group patients. Pre-op and post-op, all patents had a complete eye examination including vision and hydrodynamics testing as well as anterior chamber depth (ACD) and angle assessmentusing optical coherent tomography.Results. In study group, stable IOP decrease was observed for 2‑yrs follow-up. Phacoemulsification in cataract and POAG patients has an impact on anterior segment anatomy and topography owing to significant increase of ACD by 1.2 mm and anterior chamber angle by 3.3°. VTP ab interno provides additional ACD increase by 1.8 mm and anterior chamber angle by 15.9°. Complication rate was 8.5 % in study group (i.e., following combined phaco and VTP ab interno) and 5.1 % and 8.4 % in control groups. Hospitalization days in all groups had no significant differences.Conclusion. A novel method of combined VTP ab interno and cataract phacoemulsification provides significant IOP decrease (by 74 %) at 2‑yrs follow-up. Following VTP and phaco, fewer or even no hypotensive eye drops were required. This technique is less traumatic than traditional cataract and glaucoma surgery. Indication for combined VTP and phaco is (im) mature cataract with medically (sub) compensated POAG. |
| format | Article |
| id | doaj-art-ee73efea2fb94961a85b31a56c5cdf64 |
| institution | Kabale University |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2014-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-ee73efea2fb94961a85b31a56c5cdf642025-08-20T03:38:01ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452014-07-01111283710.18008/1816-5095-2014-1-28-3732A novel method of combined phacoemulsification and vacuum trabeculoplasty ab internoV. N. Trubilin0N. A. Kaira1Ophthalmology department, Federal Medical Biological AgencyOphthalmology department, Federal Medical Biological AgencyAim. To improve the efficacy of cataract and primary open-angle glaucoma (POAG) surgery using a novel combined surgical technique.Materials and methods. 219 patients were included in the study. According to the design, all subjects weredivided into study group (n = 58) and two control groups (n = 78 and n = 83). Combined phaco and vacuum trabeculoplasty (VTP) ab interno was performed in 58 study group patients. Pre-op and post-op, all patents had a complete eye examination including vision and hydrodynamics testing as well as anterior chamber depth (ACD) and angle assessmentusing optical coherent tomography.Results. In study group, stable IOP decrease was observed for 2‑yrs follow-up. Phacoemulsification in cataract and POAG patients has an impact on anterior segment anatomy and topography owing to significant increase of ACD by 1.2 mm and anterior chamber angle by 3.3°. VTP ab interno provides additional ACD increase by 1.8 mm and anterior chamber angle by 15.9°. Complication rate was 8.5 % in study group (i.e., following combined phaco and VTP ab interno) and 5.1 % and 8.4 % in control groups. Hospitalization days in all groups had no significant differences.Conclusion. A novel method of combined VTP ab interno and cataract phacoemulsification provides significant IOP decrease (by 74 %) at 2‑yrs follow-up. Following VTP and phaco, fewer or even no hypotensive eye drops were required. This technique is less traumatic than traditional cataract and glaucoma surgery. Indication for combined VTP and phaco is (im) mature cataract with medically (sub) compensated POAG.https://www.ophthalmojournal.com/opht/article/view/32cataract phacoemulsificationvacuum trabeculoplasty ab internocombined cataract and poag. |
| spellingShingle | V. N. Trubilin N. A. Kaira A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno Oftalʹmologiâ cataract phacoemulsification vacuum trabeculoplasty ab interno combined cataract and poag. |
| title | A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| title_full | A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| title_fullStr | A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| title_full_unstemmed | A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| title_short | A novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| title_sort | novel method of combined phacoemulsification and vacuum trabeculoplasty ab interno |
| topic | cataract phacoemulsification vacuum trabeculoplasty ab interno combined cataract and poag. |
| url | https://www.ophthalmojournal.com/opht/article/view/32 |
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