Abstract | PURPOSE: To report 3-year results evaluating the effect on safety and efficacy of canaloplasty to treat open-angle glaucoma when combined with cataract surgery. PATIENTS AND METHODS: This was a retrospective subset analysis of a prospective, international, multicenter study evaluating 133 eyes of 133 adult, open-angle glaucoma patients who underwent canaloplasty with tensioning suture placement. Eighty-two phakic eyes that received canaloplasty alone were compared with 51 eyes that underwent cataract surgery before or during canaloplasty. RESULTS: Phakic eyes that received combined cataract-canaloplasty surgery (phacocanaloplasty) had a mean±SD baseline IOP of 23.5±5.2 mm Hg and mean glaucoma medication usage of 1.5±1.0 decreasing to a mean IOP of 13.6±3.6 mm Hg on 0.3±0.5 medications at 3 years postoperatively. Pseudophakic eyes undergoing canaloplasty had a mean baseline IOP of 23.9±5.2 mm Hg on a mean of 1.8±0.8 glaucoma medications decreasing to 15.6±3.5 mm Hg on 1.1±0.8 medications at 3 years. In phakic eyes, reductions in IOP were significantly greater and less postoperative IOP lowering medication was needed after undergoing phacocanaloplasty compared to eyes which had canaloplasty alone. CONCLUSIONS:
|
Authors | Manfred Tetz, Norbert Koerber, Bradford J Shingleton, Kurt von Wolff, Holger Bull, Thomas W Samuelson, Richard A Lewis |
Journal | Journal of glaucoma
(J Glaucoma)
Vol. 24
Issue 3
Pg. 187-94
(Mar 2015)
ISSN: 1536-481X [Electronic] United States |
PMID | 23429620
(Publication Type: Comparative Study, Journal Article, Multicenter Study)
|
Topics |
- Adult
- Aged
- Aged, 80 and over
- Cataract
(complications)
- Female
- Filtering Surgery
(methods)
- Glaucoma, Open-Angle
(complications, physiopathology, surgery)
- Gonioscopy
- Humans
- Intraocular Pressure
(physiology)
- Lens Implantation, Intraocular
- Limbus Corneae
(surgery)
- Male
- Middle Aged
- Phacoemulsification
(methods)
- Prospective Studies
- Pseudophakia
(surgery)
- Retrospective Studies
- Tonometry, Ocular
- Visual Acuity
(physiology)
|