Journals / Glokom Katarakt / 2020 / Cilt: 15 - Sayı: 1

Effect of Combined Phaco-Trabeculectomy on the Anterior Segment Parameters

Pages
45–50
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In addition, changes in anterior segment parameters were shown in the postoperative period in patients undergoing phaco-trabeculectomy, and it was thought that this may have effects on refraction and IOP.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To evaluate the effect of phaco-trabeculectomy in the presence of primary open-angle glaucoma (POAG) and cataract on the anterior segment parameters.
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Key Findings & Data:The age, sex, preoperative and postoperative 6th month visual acuity (VA) according to LogMAR, intraocular pressure (IOP) measured by Goldmann applanation tonometer, keratometry values (K), central corneal thickness (CCT), corneal volume (CV), anterior chamber depth (ACD), and anterior chamber angle (ACA) measured with corneal topography were recorded.
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Conclusion & Impact:In addition, changes in anterior segment parameters were shown in the postoperative period in patients undergoing phaco-trabeculectomy, and it was thought that this may have effects on refraction and IOP.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Purpose: To evaluate the effect of phaco-trabeculectomy in the presence of primary open-angle glaucoma (POAG) and cataract on the anterior segment parameters. Material and Methods: We included the POAG cases with cataract who had underwent combined phaco-trabeculectomy to this retrospective study. The age, sex, preoperative and postoperative 6th month visual acuity (VA) according to LogMAR, intraocular pressure (IOP) measured by Goldmann applanation tonometer, keratometry values (K), central corneal thickness (CCT), corneal volume (CV), anterior chamber depth (ACD), and anterior chamber angle (ACA) measured with corneal topography were recorded. Results: Sixteen (29.62%) of the patients were female, 38 (70.37%) were male. The average age was 61.6±15.1 (28-83). The VA was 0.7±0.2 in the preoperative period and 0.47±0.1 in the postoperative 6th month according to the logMAR (p 0.05). ACD and ACA showed a signifi cant increase in the postoperative period (p=0.00, p<0.029). Conclusion: Combined phaco-trabeculectomy led to an increase in the mean visual acuity as well as effective IOP reduction. In addition, changes in anterior segment parameters were shown in the postoperative period in patients undergoing phaco-trabeculectomy, and it was thought that this may have effects on refraction and IOP.

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Cite This Article

BALSAK, S., YILDIZ, D. E. (2020). Effect of Combined Phaco-Trabeculectomy on the Anterior Segment Parameters. Glokom Katarakt, Cilt: 15 - Sayı: 1, 45–50. https://ajindex.com/articles/226411

References (14)

  1. Xu L, Wang Y, Li Y, et al. Causes of blindness and visual impairment in urban and rural areas in Beijing: the Beijing Eye Study. Ophthalmology 2006
  2. 1134e1-11 2. Zhang N, Tsai PL, Catoira-Boyle YP, et al. The effect of prior trabeculectomy on refractive outcomes of cataract surgery. Am J Ophthalmol 2013
  3. AGIS Investigators. The Advanced Glaucoma Intervention Study: 8. Risk of cataract formation after trabeculectomy. Arch Ophthalmol 2001
  4. Husain R, Liang S, Foster PJ, et al. Cataract surgery after trabeculectomy: the effect on trabeculectomy function. Arch Ophthalmol 2012
  5. Gimbel HV, Meyer D. Small incision trabeculotomy combined with phacoemulsifi cation and intraocular lens implantation. J Cataract Refract Surg 1993
  6. Kuroda S, Mizoguchi T, Terauchi H, et al. Trabeculectomy combined with phacoemulsifi cation and intraocular lens implantation. Semin Ophthalmol 2001
  7. Zhang ML, Hirunyachote P, Jampel H. Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma. Cochrane Database Syst Rev 2015
  8. CD008671. 8. Ong C, Nongpiur M, Peter L, et al. Combined Approach to Phacoemulsifi cation and Trabeculectomy Results in Less Ideal Refractive Outcomes Compared With the Sequential Approach. J Glaucoma 2016
  9. Simsek A, Bilgin B, Capkin M, et al. Evaluation of Anterior Segment Parameter Changes Using the Sirius after Uneventful Phacoemulsifi cation. Korean J Ophthalmol 2016
  10. 30(4):251-7. 10. Popa-Cherecheanu A, Iancu RC, Schmetterer L, et al. Intraocular Pressure, Axial Length, and Refractive Changes after Phacoemulsifi cation and Trabeculectomy for OpenAngle Glaucoma. J Ophthalmol 2017
  11. 1203269. 11. Abolbashari F, Ehsaei A, Daneshvar R, et al. The effect of trabeculectomy on contrast sensitivity, corneal topography and aberrations. International Ophthalmology DOI:10.1007/ s10792-017-0808-8 12. Vernon SA, Zambarakji HJ, Potgieter Fet al. Topographic and keratometric astigmatism up to 1 year following small fl ap trabeculectomy (microtrabeculectomy). Br J Ophthalmol 1999
  12. Cunliffe IA, Dapling RB, West J, et al. A prospective study examining the changes in factors that affect visual acuity following trabeculectomy. Eye (Lond) 1992
  13. Yang HS, Le e J, Choi S. Ocular Biometric Parameters Associated With Intraocular Pressure Reduction After Cataract Surgery in Normal Eyes. Am J of Ophthalmology 2013
  14. Alvani A, Pakravan M, Esf