Combined phacoemulsification whith modified gonio-assisted trabeculectomy in patient whit cataract and glaucoma
Keywords:
glaucoma, cataract, combined surgeryAbstract
Introduction: Cataract and glaucoma are the leading causes of blindness in Cuba and around the world. In this scenery many patients require combined surgery to treat both conditions and achieve visual recovery.
Objective: To determine the postoperative visual recovery, predictability, and refractive stability of phacoemulsification combined with modified gonioassisted trabeculectomy in the treatment of patients with cataract and primary open-angle glaucoma.
Methods: Experimental intervention study where 51 eyes were randomly operated with phacoemulsification combined with modified gonioassisted trabeculectomy and 52 eyes with phacoemulsification combined with trabeculectomy. They were studied from January 2017 to December 2019 at the Instituto Cubano de Oftalmología. The visual acuity and refractive status were evaluated in the preoperative period, at one month, three months and 24 months postoperatively.
Results: The proposed technique showed, one month after surgery, uncorrected visual acuity (0.8 ± 0.2), predictive error (0.17 ± 1.06 D) and induced astigmatism (0.70 ± 1.00 D), superior to phacoemulsification combined with trabeculectomy (p=0.001; p=0.004 and p=0.023).
Conclusions: The proposed surgical technique allows visual recovery with predictability and refractive stability from one month after surgery during the first 24 months postoperatively.
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References
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