October 20, 2003
Results of phacoemulsification in eyes with preexisting glaucoma filters
JCRS 2003
A retrospective analysis of 58 eyes that had temporal phacoemulsification via a clear corneal (32 eyes) or a scleral tunnel (26 eyes) approach after filtration surgery was performed with a minimum follow-up of 12 months.Results:
The mean preoperative IOP in all eyes was 11.8 mm Hg ± 4.2 (SD), and the mean final postoperative IOP was 13.7 ± 4.6 mm Hg (P<.022). The mean preoperative BCVA was improved postoperatively .There was no statistically significant change in glaucoma medication requirements postoperatively. The differences in IOP, BCVA, and postoperative glaucoma medication requirements were not statistically significant between the clear corneal group and the scleral tunnel group or between patients who received mitomycin at the time of filtration surgery and those who did not. There were no intraoperative complications; 1 patient required additional glaucoma surgery.
Conclusion:
Clear corneal or scleral tunnel phacoemulsification in the setting of a preexisting glaucoma filter was associated with improved BCVA, a small but statistically significant increase in IOP, and stability in the number of glaucoma medicines required for IOP control over a minimum follow-up of 1
EMKH
Posted by alireza habibollahi at October 20, 2003 03:08 PM