Journals / Glokom Katarakt / 2006 / Cilt: 1 - Sayı: 1
Phacoemulsification and trabeculectomy: A comparison of phacotrabeculectomy and two stage surgery
- Journal
- Glokom Katarakt
- Pages
- 29–33
- DOI
- —
Abstract
Purpose: The comparison of phacotrabeculectomy and phacoemulsification after trabeculectomy in respect to the efficacy and safety. Materials and Methods: We included the 36 eyes of 33 patients undergone phacotrabeculectomy (group 1) and 23 eyes of 22 patients undergone phacoemulsification after trabeculectomy (Group 2). Of the group 1, 20 had primary open angle glaucoma (POAG) and 13 had pseudoexfoliative glaucoma (PEG) and of the group 2, 14 had POAG and 8 had PEG. The results were evaluated retrospectively and compared statistically. Phacoemulsification and superior trabeculectomy technique with temporal approach was preferred in combined surgery and temporal corneal incision was preferred in phacoemulsification after trabeculectomy. Paired t test, Wilcoxon signed rank test and chi-square test were used in statistical analyses. Statistical significance was accepted as p<0.05. Results: The mean age was 60.3±6.5 years and 64.5±5.9 years in group 1 and 2 respectively. The follow-up period was 20.8±4.5 months in group 1 and 21.9±9.9 months in group 2. The mean preoperative intraocular pressures (IOP) were 28.4±3.6 mmHg and 27.4±3.5 mmHg in group 1 and 2 respectively. At the last control of the patients the mean IOPs were detected as 15.3±2.7 mmHg and 16.2±2.2 mmHg in group 1 and 2 respectively. The mean number of antiglaucomatous medications was 2.1±0.5 in the first group and 2.1±0.6 before trabeculectomy and 0.48±0.6 before phacoemulsification in group 2. The mean number of antiglaucomatous medications after the surgeries was detected as 0.14±0.5 and 0.52±0.6 in the last control of the patients. Conclusion: There was no statistically significant difference between the groups in respect to age, sex, the distribution of glaucoma types, the preoperative mean IOPs and follow-up periods (p>0.05). The IOPs were similar (p>0.05), but the number of antiglaucomatous medications were significantly higher in group 2 in the last control of the patients (p<0.05).
Özet
Amaç: Fakotrabekülektomi ile trabekülektomi sonrası fakoemülsifikasyonun, etkinlik ve güvenilirlik açısından karşılaştırılması amaçlandı. Gereç ve Yöntem: Fakotrabekülektomi uygulanan (1. grup) ve düzenli takiplerine devam eden 33 olgunun 36 gözü ile trabekülektomi sonrası fakoemülsifikasyon (fako) uygulanan (2. grup) 22 olgunun 23 gözü çalışmaya dahil edildi. Birinci grupta 20 primer açık açılı glokom (PAAG) ve 13 psödoeksfoliatif glokom (PEG) olgusu, 2. grupta ise 14 PAAG ve 8 PEG olgusuna ait sonuçlar geriye dönük olarak değerlendirildi ve istatistiksel olarak karşılaştırıldı. Kombine cerrahide temporal yaklaşımlı fako+süperior trabekülektomi tekniği kullanılırken, trabekülektomi sonrası fakoda da temporal korneal yaklaşım tercih edildi. İstatistiksel değerlendirmelerde paired t test, Wilkoxon signed rank test ve ki kare testi kullanıldı. İstatistiksel anlamlılık p 0.05). Ameliyat sonrası son kontrol muayeneleri baz alındığında GİB’ları benzer olmakla birlikte (p>0.05), 2. grupta ameliyat sonrası kullanılan glokom ilacı sayısı istatistiksel olarak anlamlı oranda daha fazlaydı (p<0.05).