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Longterm results of one-site phacotrabeculectomy

  1. Carlo Cagini*,
  2. Paola Murdolo,
  3. Raffaella Gallai

Article first published online: 29 MAY 2003

DOI: 10.1034/j.1600-0420.2003.00051.x

Issue

Acta Ophthalmologica Scandinavica

Acta Ophthalmologica Scandinavica

Volume 81, Issue 3, pages 233–236, June 2003

Additional Information

How to Cite

Cagini, C., Murdolo, P. and Gallai, R. (2003), Longterm results of one-site phacotrabeculectomy. Acta Ophthalmologica Scandinavica, 81: 233–236. doi: 10.1034/j.1600-0420.2003.00051.x

Author Information

  1. Department of Ophthalmology, University of Perugia, Italy

*Carlo Cagini MD Dipartimento di Specialità Medico-Chirurgiche Sezione di Oculistica Policlinico Monteluce Via Brunamonti 51 06100 Perugia Italy Tel: + 39 075 57 20 357 Fax: + 39 075 57 83 944 Email: carlocagini@hotmail.com

Publication History

  1. Issue published online: 29 MAY 2003
  2. Article first published online: 29 MAY 2003
  3. Received on July 8th, 2002. Accepted on December 31st, 2002.

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Keywords:

  • one-site phacotrabeculectomy;
  • visual acuity;
  • intraocular pressure;
  • complications;
  • glaucoma;
  • cataract;
  • surgery

Abstract.

Purpose:  To evaluate results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation.

Methods:  A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 ± 12.3 months (range 12–46 months).

Results:  Preoperative mean intraocular pressure (IOP) (25.1 ± 8.6 mmHg) dropped significantly, to 16.4 ± 1.3 mmHg 1 year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 ± 0.49 to 0.22 ± 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%) we successfully performed scleral flap revision to achieve IOP control.

Conclusion:  One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.

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