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Canaloplasty and Trabeculotomy Combined With Phacoemulsification for Primary Angle-Closure Glaucoma: A Single-Surgeon Case Series.
Mueller, Anna; Malley, Claire E; Berzack, Shannan; Israilevich, Rachel; Ruiz-Pelaez, Juan; Brink, Matthew.
Afiliación
  • Mueller A; Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
  • Malley CE; Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
  • Berzack S; Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
  • Israilevich R; Department of Ophthalmology, Mayo Clinic, Miami, USA.
  • Ruiz-Pelaez J; Department of Translational Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
  • Brink M; Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus ; 16(5): e60549, 2024 May.
Article en En | MEDLINE | ID: mdl-38887363
ABSTRACT

PURPOSE:

To evaluate the outcomes of combined canaloplasty and trabeculotomy with phacoemulsification for primary angle-closure glaucoma (PACG).

METHODS:

In this retrospective, consecutive, single-surgeon case series, we analyzed the pre- and postoperative measurements of PACG patients who had the procedure. Adverse events were recorded. The main outcomes were mean intraocular pressure (IOP) in each quartile of the follow-up year and the number of IOP-lowering medications the patients were on by the end of each quartile compared to their baseline values.

RESULTS:

 A total of 46 eyes from 39 PACG patients were included. The preoperative IOP and glaucoma medications taken were 19.33±6.03 mm Hg and 1.80±1.39, respectively (N=46). Postoperative IOP means (mm Hg) in the subsequent four quartiles were 14.00±3.33 (N=44), 13.44±2.83 (N=32), 14.38±2.39 (N=16), and 14.92±2.90 (N=13) (p<0.0001). The mean number of meds was 0.32±0.80, 0.22±0.42, 0.59±0.80, and 0.08±0.28 in each respective quartile (p<0.0001), while the median was 0 across all quartiles.

CONCLUSIONS:

Combining the OMNI surgical system with phacoemulsification led to substantial reductions in mean IOP and the number of IOP-lowering medications when compared to baseline measurements.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos