Results of combined phacoemulsification and trabeculectomy in patients with elevated preoperative intraocular pressures.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Stewart, WC; Crinkley, CM; Carlson, AN

Published Date

  • June 1995

Published In

Volume / Issue

  • 4 / 3

Start / End Page

  • 164 - 169

PubMed ID

  • 19920663

International Standard Serial Number (ISSN)

  • 1057-0829

Language

  • eng

Conference Location

  • United States