Combined Phacoemulsification and Filtering Surgery With the 'No-Stitch' Technique

Anders, Norbert; Pham, D. T.; Holschbach, Andreas; Wollensak, J.

doi:10.1001/archopht.1997.01100160415004

Cited by 20 publications

(35 citation statements)

References 31 publications

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“…Three studies were multicenter trials: Samuelson 2011 (29 sites), Fernández-Barrientos 2010 (three sites), and Gimbel 1995 (three sites); all other studies were conducted at a single site. The longest length of follow-up was 12 months in three studies (Anders 1997; Fernández-Barrientos 2010; Storr-Paulsen 1998), 15 months in Fea 2010, 18 months in Georgopoulos 2000, 24 months in three studies (Gimbel 1995; Liaska 2014; Samuelson 2011), and 30 months in one study (Jacobi 1999). …”

Section: Resultsmentioning

confidence: 97%

“…Seven of the nine studies were conducted in Europe: two in Germany (Anders 1997; Jacobi 1999), two in Greece (Georgopoulos 2000; Liaska 2014), and one each in Italy (Fea 2010), Spain (Fernández-Barrientos 2010), and Denmark (Storr-Paulsen 1998). The remaining two studies were conducted in Canada and South Africa (Gimbel 1995), and the United States (Samuelson 2011).…”

Section: Resultsmentioning

confidence: 99%

“…The diagnoses of participants included co-existing cataract with: primary open-angle glaucoma (POAG) (Anders 1997; Fea 2010; Liaska 2014; Storr-Paulsen 1998), POAG/ocular hypertension (Fernández-Barrientos 2010), pseudoexfoliative glaucoma (Georgopoulos 2000; Jacobi 1999), POAG/ocular hypertension/pseudoexfoliative/pigmentary glaucoma (Gimbel 1995), and POAG/pseudoexfoliative/pigmentary glaucoma (Samuelson 2011). Seven studies reported the gender of participants; most participants in each study and overall were women (311/522, 59%).…”

Section: Resultsmentioning

confidence: 99%

“…All but two studies (Gimbel 1995; Liaska 2014) reported the mean number of medications used postoperatively. Two studies reported the mean change from baseline in the number of medications in use at one year after surgery (Anders 1997; Samuelson 2011). …”

Section: Resultsmentioning

confidence: 99%

“…No study investigator reported the mean change in BCVA, although six studies reported postoperative visual acuity at various time points (Anders 1997; Georgopoulos 2000; Jacobi 1999; Liaska 2014; Samuelson 2011; Storr-Paulsen 1998). Investigators of three studies reported preoperative visual acuity and postoperative visual acuity at one year (Anders 1997; Samuelson 2011) or two years (Liaska 2014) using the logMAR scale, but did not provide details regarding the type of chart used to measure visual acuity.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma

Zhang

Hirunyachote

Jampel

2015

Cochrane Database of Systematic Reviews

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show abstract

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma

Zhang

Hirunyachote

Jampel

2015

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

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Comparative Study of Trabecular Aspiration vs Trabeculectomy in Glaucoma Triple Procedure to Treat Pseudoexfoliation Glaucoma

Jacobi

Dietlein²,

Krieglstein³

1999

Arch Ophthalmol

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To establish the relative safety and effectiveness of trabecular aspiration in combination with phacoemulsification and intraocular lens (IOL) implantation (asp+IOL) for decreasing intraocular pressure (IOP), and to compare the outcome of this method of treatment with that of phacoemulsification and IOL implantation alone (IOL-alone) or standard filtering glaucoma triple procedure (triple procedure). Design: Prospective, controlled study randomized with respect to assignment to trabecular aspiration, with a casecontrol design between the asp+IOL and triple procedure groups. Participants: Seventy-four eyes of 74 patients with uncontrolled pseudoexfoliation glaucoma without a history of previous intraocular or extraocular surgery and in need of cataract surgery. Forty-eight patients were randomized to those receiving adjunctive trabecular aspiration (asp+IOL group of 26 eyes) and those given no trabecular aspiration (IOL-alone group of 22 eyes). The triple procedure group consisted of 26 cases, closely matched to the asp+IOL cases in terms of age, sex, cupdisc ratio, glaucoma medication requirements, and systemic diseases. Interventions: Temporal clear corneal phacoemulsification and foldable IOL implantation was performed in all eyes. In the asp+IOL group, trabecular aspiration was performed with a suction force of 100 to 200 mm Hg under light tissue-instrument contact using a modified intraocular aspiration probe. A modified Cairns-type trabeculectomy without adjunctive antimetabolites was performed superiorly in the triple procedure eyes after IOL implantation. Main Outcome Measures: Surgical outcome was assessed in terms of IOP change, need of adjunctive glaucoma medication, visual acuity outcome, and complications. Surgical failure was defined as an outcome requiring additional surgical intervention or more than 1 medication to achieve IOP control to the target pressure. Results: Two years after surgery, success rates were 36%, 64%, and 78% in the IOL-alone, asp+IOL, and triple procedure groups, respectively (PϽ.001). Hyphema (46%) and ocular hypotony (11%) were observed in the triple procedure group only, whereas blood reflux (61%) and descemetolysis (19%) were seen exclusively in the asp+IOL group. Conclusions: In pseudoexfoliative eyes, asp+IOL is significantly more effective than cataract surgery alone in reducing postoperative IOP and the necessity for glaucoma medication. Although trabecular aspiration in the triple procedure did not achieve pressure control in all patients, especially in the low target pressure range, the risk profile appears to be more favorable in the trabecular aspiration-treated eyes than in the filtering glaucoma triple procedure group. Trabecular aspiration in the glaucoma triple procedure could serve as a possible first-line treatment for pseudoexfoliative eyes with coexisting cataract and glaucoma.

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The risk profile of trabecular aspiration versus trabeculectomy in glaucoma triple procedure

Jacobi¹,

Dietlein²,

Krieglstein³

2000

Graefe's Archive for Clinical and Experimental Ophthalmology

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In exfoliative eyes, trabecular aspiration in combination with phacoemulsification and IOL implantation is less effective in reducing postoperative IOP and number of glaucoma medications than the standard filtering glaucoma triple procedure. The risk profile, however, appears to be more favorable in the phaco-aspiration-treated eyes than in the phaco-trab group. Trabecular aspiration in glaucoma triple procedure could serve as a possible treatment of choice for exfoliative eyes with coexisting cataract and glaucoma.

show abstract

Combined Phacoemulsification and Filtering Surgery With the 'No-Stitch' Technique

Cited by 20 publications

References 31 publications

Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma

Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma

Comparative Study of Trabecular Aspiration vs Trabeculectomy in Glaucoma Triple Procedure to Treat Pseudoexfoliation Glaucoma

The risk profile of trabecular aspiration versus trabeculectomy in glaucoma triple procedure

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