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Phacoemulsification plus endoscopic cyclophotocoagulation versus phacoemulsification alone in primary open-angle glaucoma.
Pérez Bartolomé, Francisco; Rodrigues, Ian A; Goyal, Saurabh; Bloch, Edward; Lim, Wei S; Alaghband, Pouya; Guajardo, Jose; Jones, Stephanie; Lim, Kin S.
Afiliación
  • Pérez Bartolomé F; 1 Department of Ophthalmology, Hospital Clínico San Carlos, Madrid - Spain.
  • Rodrigues IA; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
  • Goyal S; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
  • Bloch E; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
  • Lim WS; 3 Department of Ophthalmology, King's College Hospital NHS Foundation Trust, London - UK.
  • Alaghband P; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
  • Guajardo J; 3 Department of Ophthalmology, King's College Hospital NHS Foundation Trust, London - UK.
  • Jones S; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
  • Lim KS; 2 Department of Ophthalmology, St. Thomas' Hospital NHS Foundation Trust, London - UK.
Eur J Ophthalmol ; 28(2): 168-174, 2018 Mar.
Article en En | MEDLINE | ID: mdl-29077182
PURPOSE: To examine the efficacy and safety of combined phacoemulsification and endoscopic cyclophotocoagulation (phaco-ECP) compared to phacoemulsification alone in patients with primary open-angle glaucoma (POAG). METHODS: We performed a retrospective notes review of 99 consecutive clinical records of patients with POAG from 2 London eye departments. A total of 69 patients who underwent phaco-ECP and 30 sex- and age-matched control patients who underwent cataract surgery alone were included. Data on intraocular pressure (IOP), visual acuity (VA), number of ocular hypotensive medications, and postoperative complications were collected over 12 months. The primary outcome measure was defined as an IOP within normal limits (<21 mm Hg) and at least a 20% reduction in IOP from baseline. RESULTS: Mean IOP was significantly decreased in both groups after 1 year (p<0.001 from baseline). The success rate was significantly higher in the phaco-ECP group (69.6%) than in the phaco group (40%) after 1 year (p = 0.004). Reduction in mean IOP and number of medications was also greater in the phaco-ECP group after 1 year (IOP reduction: 4.5 ± 5.13 mm Hg vs 1.83 ± 3.61 mm Hg; p = 0.007; number of medications reduction: 0.73 ± 0.71 vs 0.23 ± 0.56; p = 0.001). Both groups achieved a similar improvement in VA. There was a higher incidence of minor and self-limiting complications in the phaco-ECP group (p<0.047). CONCLUSIONS: Phaco-ECP resulted in a greater reduction in IOP and number of medications than phacoemulsification alone in POAG.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma de Ángulo Abierto / Cuerpo Ciliar / Coagulación con Láser / Facoemulsificación Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma de Ángulo Abierto / Cuerpo Ciliar / Coagulación con Láser / Facoemulsificación Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos