Abstract
STUDY OF TWO SITES PHACO TRABECULECTOMY IN CASES OF COEXSTING GLAUCOMA AND CATARACT -LONG TERM FOLLOW UP

*Dr. Mona P. Sune and Dr. P. G. Sune

ABSTRACT

Purpose: To study safety and efficacy of two-site phacotrabeculectomy in patients with primary open-angle glaucoma (POAG)), with respect to intraocular pressure (IOP), antiglaucoma medication (AM) requirements and post-operative complications. Study design: Prospective clinical case seriesl. Methods: Thirty patients (eyes) with co-existing visually significant cataract and POAG underwent two-site phacotrabeculectomy and reviewed with a follow-up at five years for decrease in IOP, need for AM and complications of the procedure. Results: All patients were followed up for five years with lost to follow up of three (10%) patient after 3 years. Pre-operatively mean (SD) IOP was 34.55 (10.08) mm of Hg. Mean post-operative IOP after five year follow up was 13.5 ( 2.7) mm of Hg, which was significant [SE (d) is 1.9]. Mean(SD) decrease in IOP at the end of five year follow up was 21.05 (3.5) mm of Hg(p=0.0005). Mean AM postoperatively were significantly less (0.66) compare to preoperatively (2.7). Intraoperative, postoperative complications occurred in nine patients who were managed to their best. Conclusion: Two-site phacotrabeculectomy is safe and effective in IOP control over a five year follow-up period in patients with POAG.

Keywords: Phacotrabeculectomy, Glaucoma, IOP.


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