A Comparative Study Between Single Site and Two Different Sites Phacotrabeculectomy

Abstract

AIM:To evaluate and compare efficacy and outcome after single site phacotrabeculectomy and two sites phacotrabeculectomy in cases of coexisting open angle, angle closure and lens induced glaucoma and cataract. MATERIALS AND METHODS: This study was randomized, prospective, interventional and comparative clinical trial. The present study of combined cataract extraction with trabeculectomy was done in tertiary centre. In the present study of combined cataract extraction with trabeculectomy 28 eyes were operated upon and follow-up was done between 2 months to 14.5 months. RESULT: There is early restoration of good vision in 75% of cases. A good tension control is achieved. Tension can be controlled in 85.7% eyes with surgery, while overall tension control with post-operative medical therapy can be achieved in 92.85% eyes. The average reduction of intra-ocular pressure after this reduction of intra-ocular pressure after this procedure is more than 50% and it is highly significant statistically (P < 0.001). CONCLUSION: The combined operation of trabeculectomy and cataract extraction by phacoemulsification give results comparable to those obtained for separate procedures in terms of intraocular pressure control restoration of vision. The advantages of combined procedure outweigh the small increase in the risks of surgery.