Abstract | PURPOSE: SETTING: Hokkaido University Hospital, Sapporo, Japan. DESIGN: Retrospective case series. METHODS: Medical records of patients with glaucoma having a modified 360-degree trabeculotomy combined with cataract surgery (Group 1) were reviewed. Another group of patients who had the modified 360-degree suture trabeculotomy alone served as controls (Group 2). RESULTS: Both groups comprised 46 patients. In each group, eyes were diagnosed with primary angle-closure glaucoma in 2 eyes, primary open-angle glaucoma in 24 eyes, exfoliation glaucoma in 4 eyes, uveitic glaucoma in 15 eyes, and steroid glaucoma in 1 eye. The mean preoperative intraocular pressure (IOP) values were 27.2 mm Hg ± 7.3 (SD) on 3.0 ± 0.5 medications in Group 1 and 27.7 ± 10.7 mm Hg on 2.9 ± 0.6 medications in Group 2. Twelve months after surgery, the mean IOPs were 13.4 ± 3.7 mm Hg on 0.8 ± 1.1 medications in Group 1 and 13.9 ± 4.1 mm Hg on 0.6 ± 0.9 medications in Group 2. The success rate (<18 mm Hg) at 12 months was 89.1% and 93.5%, respectively. Major complications included transient IOP spikes (30.4% and 37.0%) and prolonged hyphema (10.9% and 6.5%) in Group 1 and Group 2, respectively. CONCLUSION: FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.
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Authors | Yasuhiro Shinmei, Riki Kijima, Takuya Nitta, Kan Ishijima, Takeshi Ohguchi, Shinki Chin, Susumu Ishida |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 42
Issue 11
Pg. 1634-1641
(11 2016)
ISSN: 1873-4502 [Electronic] United States |
PMID | 27956291
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved. |
Topics |
- Cataract
(complications)
- Glaucoma, Open-Angle
(complications, surgery)
- Humans
- Intraocular Pressure
- Japan
- Lens Implantation, Intraocular
- Phacoemulsification
- Retrospective Studies
- Sutures
- Trabeculectomy
- Treatment Outcome
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