Results of combined phacoemulsification and trabeculectomy in patients with elevated preoperative intraocular pressures.
PURPOSE: We evaluated the results of 17 consecutive patients with high intraocular pressures and visually significant cataracts who underwent combined phacoemulsification and trabeculectomy. METHODS: We individually matched each patient by age, race, and intraocular pressure (trabeculectomy group only) to two control groups: group 1, patients who had combined phacoemulsification and trabeculectomy and whose intraocular pressures were controlled preoperatively (pressure 0.05). Moreover, no statistical difference was observed between groups at 1 year postsurgery in number of glaucoma medications, bleb height or extent, anterior chamber depth, or bleb vascularity (p > 0.05). Additionally, both study and control patients had a statistically similar peak pressure the first month following surgery (p > 0.05). Complications were similar among groups. CONCLUSION: This study suggests that patients with chronic open-angle glaucoma and high intraocular pressure may undergo combined trabeculectomy and phacoemulsification and achieve long-term postoperative intraocular control similar to those patients who have trabeculectomy only or a combined procedure and controlled preoperative pressure.
Stewart, WC; Crinkley, CM; Carlson, AN
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