Phacotrabeculectomy Versus Conventional Combined Technique in Coexisting Glaucoma and Cataract

Parihar, Jitendra Kumar Singh; Sahoo, PK; Misra, R. N.; Vats, DP; Kamath, AP; Rodrigues, Fea

doi:10.1016/s0377-1237(05)80009-7

Cited by 3 publications

(2 citation statements)

References 10 publications

(14 reference statements)

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“…10 Similarly perasalo etall in study of 243 cases of phacotreb reported 80% cases with visual improvement and 70% cases IOP control without drugs. 11 Our study confirms the safety and effectiveness of combined single site phacoemulsification with IOL implantation and trabeculectomy.…”

Section: Discussionmentioning

confidence: 91%

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Ramnani¹,

Agarwal²,

Singh³

et al. 2016

Int J Res Med Sci

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Section: Discussionmentioning

confidence: 91%

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Ramnani¹,

Agarwal²,

Singh³

et al. 2016

Int J Res Med Sci

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“…This leads to the question—does modern cataract surgery allow a less hazardous profile of phacotrabeculectomy? The answer remains unclear and there is a lack of consensus on the best surgical management for these patients [ 19 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Efficacy of Phacotrabeculectomy versus Trabeculectomy with or without Later Phacoemulsification: A Systematic Review with Meta-Analyses

Ahmadzadeh

Kessel

Subhi

et al. 2021

Journal of Ophthalmology

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There is no consensus on the surgical management of coexisting cataract in patients who undergo glaucoma surgery. In this study, we systematically reviewed the literature to compare the efficacy and safety of phacotrabeculectomy and trabeculectomy either alone or followed by later phacoemulsification. We systematically searched the literature databases PubMed/MEDLINE, EMBASE, and the Cochrane Central. Eligible studies were comparative trials of eyes with glaucoma that underwent either phacotrabeculectomy or trabeculectomy with or without later phacoemulsification. Our primary outcome measure was intraocular pressure (IOP) control closest to 12 months. Secondary outcome measures were efficacy closest to 12 months in terms of visual acuity, visual field, prevalence of complications, needling or revision, number of antiglaucomatous medications, and surgical success. We identified 25 studies with a total of 4,749 eyes. The IOP did not differ significantly between those who underwent phacotrabeculectomy versus trabeculectomy with (MD: 0.63, CI95%: −0.32, 1.59, p = 0.19 ) or without later phacoemulsification (MD: −0.52, CI95%: −1.45, 0.40, p = 0.27 ). However, phacotrabeculectomy was associated with lower risk of complications (RR: 0.80, CI95%: 0.67, 0.95, p = 0.01 ) and better visual acuity corresponding to a 1.4-line difference (MD: −0.14, CI95%: −0.27, −0.95, p = 0.03 ) compared to trabeculectomy. Other secondary outcome measures did not differ significantly (visual field, needling or revision, number of antiglaucomatous medications, and surgical success). In conclusion, postoperative IOP is comparable, and the number of complications is lower when phacotrabeculectomy is compared to trabeculectomy with or without later phacoemulsification in patients with coexisting glaucoma and cataract. However, our study also reveals that the level of evidence is low, and randomized clinical trials are warranted.

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Combined Approach to Coexisting Glaucoma and Cataract: Choice of Surgical Techniques

Parihar¹,

Kaushik²,

Parihar³

et al. 2011

Glaucoma - Current Clinical and Research Aspects

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Phacotrabeculectomy Versus Conventional Combined Technique in Coexisting Glaucoma and Cataract

Abstract: Phacotrabeculectomy provides effective and sustained visual recovery and adequate control of intraocular pressure as compare to conventional combined procedure.

Cited by 3 publications

References 10 publications

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Surgical outcome of single site phacotrabeculectomy in management of concurrent glaucoma and cataract

Comparative Efficacy of Phacotrabeculectomy versus Trabeculectomy with or without Later Phacoemulsification: A Systematic Review with Meta-Analyses

Combined Approach to Coexisting Glaucoma and Cataract: Choice of Surgical Techniques

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