Combined cataract and glaucoma surgery: trabeculectomy versus endoscopic laser cycloablation

Gayton, Johnny L.; Karr, Michelle Van Der; Sanders, Valerie

doi:10.1016/s0886-3350(99)00141-8

Cited by 117 publications

(87 citation statements)

References 11 publications

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“…In our study, the overall success rate was 92.57% and 78.84% at 1 and 5 years of follow-up, respectively. Gayton et al (13) compared cataract surgery combined with trabeculectomy or ECP. The ECP cases did not achieve an immediate reduction in IOP, as the trabeculectomy cases did.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic cyclophotocoagulation in refractory glaucomas: a long term study

Lima¹,

Neto²,

Toscano³

et al. 2009

Rev. bras.oftalmol.

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Purpose: To evaluate the safety and efficacy of endoscopic cyclophotocoagulation (ECP) in the treatment of refractory glaucomas. Methods: The preoperative and postoperative courses of 539 eyes of 539 patients with refractory glaucoma who underwent ECP and had a minimum 5 years follow-up were retrospectively reviewed. All procedures were performed by a single surgeon (FEL). Eyes that were included had undergone at least one incisional glaucoma surgery and had intraocular pressure (IOP) equal to or above 35 mmHg on maximum tolerated medical therapy, and a visual acuity better than light perception. Success was defined as IOP greater than 6 mmHg and lower than 22 mmHg after 5 years postoperatively, with or without topical anti-hypertensive therapy. ECP included 210° of the ciliary body, corresponding to 2 to 9 hours in the right eye and from 3 to 10 hours in the left eye, including the anterior third of the pars plana. Results: The mean follow-up was 88.9 + 10.3 months (range 60 to 108 months). Mean preoperative IOP was 38.1 ± 6.5 mmHg, and postoperative IOP was 12.1 ± 3.4 mmHg, with or without topical antiglaucomatous medication (p<0.05). The mean number of glaucoma medications used by each patient was reduced from 3.9 + 1.2 preoperatively to 1.9 + 1.4 postoperatively (p< 0.05). Best corrected visual acuity was stable or improved postoperatively in 407 eyes (95.3%) while 20 eyes (4.7%) lost 2 or more lines of Snellen acuity. The success rate at 12 and 60 months were, 92.5% and 79% respectively. KaplanMeier survival analysis showed an overall probability of success at 60 months of 71.5%. Complications included fibrin exudation in 116 eyes (21.5%), hyphema in 58 eyes (10.7%), choroidal detachment in 31 eyes (5.7%), phthisis in 13 eyes (2.4%), retinal detachment in 8 eyes (1.4%) and hypotony in 7 eyes (1.2%).Conclusion: These results suggest that ECP is a safe and effective therapeutic modality for refractory glaucomas after a long-term follow-up.

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Section: Discussionmentioning

confidence: 99%

Endoscopic cyclophotocoagulation in refractory glaucomas: a long term study

Lima¹,

Neto²,

Toscano³

et al. 2009

Rev. bras.oftalmol.

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“…Gayton JL et al 73 conducted a randomized prospective study on 58 eyes of 58 patients comparing endoscopic laser cycloablation performed through a cataract incision at the time of cataract surgery with combined trabeculectomy and cataract surgery. At the final available visit of 2 years follow-up, 30% of endoscopic laser patients achieved intraocular pressure control (below 19 mm Hg) without medication and 65% with medication.…”

Section: Clinical Resultsmentioning

confidence: 99%

Diode Laser Cyclophotocoagulation

Mandal¹,

Gadia²,

Ashar³

2009

JOCGP

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“…Researchers have proved Combined surgery is better than trabeculectomy alone because it manages both diseases at the same time and gives desirable results in terms of IOP control and visual outcome. 6 Of the various glaucoma surgeries trabeculectomy is the best technique to be used in association with cataract extraction. 7 The protective scleral flap over a limbal fistula reduces the chances of an early postoperative flat anterior chamber and also makes the guarded filtering operation particularly desirable for combined procedures.…”

Section: Discussionmentioning

confidence: 99%

Success of Combined Sics and Trabeculectomy by Sutureless Technique vs. ‘W’ Shaped Incision Technique

Agarwal¹,

Jain²,

Kumar³

et al. 2017

jemds

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BACKGROUNDCataract and glaucoma are first and second leading causes of blindness worldwide. Combined surgery has the advantage of treating two distinct co morbidities by a single surgery. To increase the success rate and minimize complication rate of this surgery different modification have been tried both in superficial scleral flap formation as well as in fistulising technique and also in the incision shape, size and sites. This study is done to compare the results of combined manual small-incision cataract surgery (SICS) and posterior chamber intraocular lens (PCIOL) implantation with trabeculectomy by sutureless versus combined SICS with 'W'-shaped incision technique.

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Combined cataract and glaucoma surgery: trabeculectomy versus endoscopic laser cycloablation

Abstract: Endoscopic laser cycloablation performed through a cataract incision was a reasonably safe and effective alternative to combined cataract and trabeculectomy surgery, providing an option for cataract patients who have glaucoma requiring surgical intervention.

Cited by 117 publications

References 11 publications

Endoscopic cyclophotocoagulation in refractory glaucomas: a long term study

Endoscopic cyclophotocoagulation in refractory glaucomas: a long term study

Diode Laser Cyclophotocoagulation

Success of Combined Sics and Trabeculectomy by Sutureless Technique vs. ‘W’ Shaped Incision Technique

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