Phacoemulsification alone versus phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma

Soolienah Rhiu, Samin Hong, Gong Je Seong, Chan Yun Kim

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Abstract

Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Regarding the number of anti-glaucoma medications, it was higher in the phacoemulsification combined with trabeculectomy group preoperatively than the phacoemulsification only group (p = 0.045), but both groups were taking similar quantities of medication at the final follow-up (p = 0.6). In addition, postoperative hypotony (two cases) occurred only after phacoemulsification combined with trabeculectomy, but not after phacoemulsification only. In one case after phacoemulsification only, a second operation was needed. There were no additional postoperative complications. In conclusion, both phacoemulsification only and phacoemulsification combined with trabeculectomy showed good surgical outcomes in PACG patients. Both procedures might be equally effective in treating patients with PACG.

Original languageEnglish
Pages (from-to)781-783
Number of pages3
JournalYonsei medical journal
Volume51
Issue number5
DOIs
Publication statusPublished - 2010 Sep

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Angle Closure Glaucoma
Trabeculectomy
Phacoemulsification
Intraocular Pressure
Glaucoma
Visual Acuity

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Regarding the number of anti-glaucoma medications, it was higher in the phacoemulsification combined with trabeculectomy group preoperatively than the phacoemulsification only group (p = 0.045), but both groups were taking similar quantities of medication at the final follow-up (p = 0.6). In addition, postoperative hypotony (two cases) occurred only after phacoemulsification combined with trabeculectomy, but not after phacoemulsification only. In one case after phacoemulsification only, a second operation was needed. There were no additional postoperative complications. In conclusion, both phacoemulsification only and phacoemulsification combined with trabeculectomy showed good surgical outcomes in PACG patients. Both procedures might be equally effective in treating patients with PACG.",
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Phacoemulsification alone versus phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma. / Rhiu, Soolienah; Hong, Samin; Seong, Gong Je; Kim, Chan Yun.

In: Yonsei medical journal, Vol. 51, No. 5, 09.2010, p. 781-783.

Research output: Contribution to journalArticle

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