Document Detail

Prognostic factors in long-term intraocular pressure control following combined phacoemulsification and trabeculectomy.
MedLine Citation:
PMID:  8739679     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of Ophthalmology, Medical University of South Carolina, Charleston, USA.
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MeSH Terms
Chronic Disease
Follow-Up Studies
Glaucoma, Open-Angle / physiopathology,  surgery*
Intraocular Pressure*
Postoperative Period

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