Document Detail


The effect of phacoemulsification and combined phaco/glaucoma procedures on the intraocular pressure in open-angle glaucoma. A review of the literature.
MedLine Citation:
PMID:  22978183     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: This review article addresses the different aspects that influence the choice and sequence of surgical treatment in patients with coexisting open-angle glaucoma and cataract. The effect of phacoemulsification on the intraocular pressure (lOP) and on a preexisting bleb is discussed and phacotrabeculectomy and trabeculectomy are compared. Moreover, the most recent surgical pressure lowering techniques in combination with phacoemulsification are reviewed: iStent, Trabectome, Hydrus, Cypass and Canaloplasty.
METHODS: Medline database was used to search for relevant, recent articles.
CONCLUSION: A sustained IOP decrease of 1.5 mmHg can be expected after a phacoemulsification in patients with open-angle glaucoma. The higher the preoperative pressure, the greater the IOP lowering will be. A phacoemulsification on a trabeculectomized eye will often lead to reduced bleb function and an IOP rise of on average 2 mmHg after 12 months. Compared to a trabeculectomy, phaco-trabeculectomy will have a less IOP lowering effect and a higher complication rate. iStent and Trabectome combined with phacoemulsification can decrease the IOP with 3 to 5mmHg, with a low complication rate. The combination of Cypass and Hydrus with phaco-surgery may have a more significant IOP lowering effect but long term results are not yet published. Combining Canaloplasty with phacoemulsification is a more challenging surgery but if a tension suture can be placed, an IOP decrease around 10 mmHg might be expected.
Authors:
C J Augustinus; T Zeyen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Bulletin de la Société belge d'ophtalmologie     Volume:  -     ISSN:  0081-0746     ISO Abbreviation:  Bull Soc Belge Ophtalmol     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505353     Medline TA:  Bull Soc Belge Ophtalmol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  51-66     Citation Subset:  IM    
Affiliation:
Ciliaaugustinus@gmail.com
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