Document Detail


Prognostic factors in long-term intraocular pressure control following combined phacoemulsification and trabeculectomy.
MedLine Citation:
PMID:  8739679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied 36 consecutive patients who underwent combined phacoemulsification and trabeculectomy to determine prognostic factors associated with intraocular pressure control one year postoperatively. In patients who were either easier (intraocular pressure < 16 mmHg, n = 19) or more difficult (> or = 16 mmHg, n = 17) to control, the mean intraocular pressure increased up to the fourth week postoperatively. In the more difficult to control group, however, the intraocular pressure continued to increase and a statistical difference between groups was noted by the second month postoperatively (P < 0.05). The peak intraocular pressure within the first month postoperatively was lower in patients easier to control long-term (P < 0.005). No statistical difference between groups in the filtering bleb or anterior chamber appearance, or postoperative complications, was noted (P > 0.05). This study suggests combined trabeculectomy and phacoemulsification is safe and effective in controlling intraocular pressure postoperatively. Determining from the early postoperative examination the long-term pressure control, however, is difficult.
Authors:
W C Stewart; C M Crinkley; A N Carlson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta ophthalmologica Scandinavica     Volume:  74     ISSN:  1395-3907     ISO Abbreviation:  Acta Ophthalmol Scand     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-10-04     Completed Date:  1996-10-04     Revised Date:  2008-03-17    
Medline Journal Info:
Nlm Unique ID:  9507578     Medline TA:  Acta Ophthalmol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  145-50     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Medical University of South Carolina, Charleston, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Female
Follow-Up Studies
Glaucoma, Open-Angle / physiopathology,  surgery*
Humans
Intraocular Pressure*
Male
Phacoemulsification*
Postoperative Period
Prognosis
Trabeculectomy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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