Treatment for Concomitant Cataract and Glaucoma
Treatment for Concomitant Cataract and Glaucoma
In conclusion, phacotrabeculectomy and phacocanaloplasty resulted in a significant reduction of IOP after 12 months. Nevertheless, IOP was higher and more glaucoma medications were required in patients who underwent phacocanaloplasty. Although canaloplasty may not achieve as low pressures as trabeculectomy, combining canaloplasty with cataract surgery may be a valuable alternative to traditional combination of incisional glaucoma surgery and phacoemulsification, since the newer techniques produce moderate IOP reduction comparable to phacotrabeculectomy, have lower rates of postoperative complications and do not need an intensive postoperative care. These results on comparing filtering with non-filtering glaucoma surgery need to be confirmed in prospective randomized studies.
Conclusions
In conclusion, phacotrabeculectomy and phacocanaloplasty resulted in a significant reduction of IOP after 12 months. Nevertheless, IOP was higher and more glaucoma medications were required in patients who underwent phacocanaloplasty. Although canaloplasty may not achieve as low pressures as trabeculectomy, combining canaloplasty with cataract surgery may be a valuable alternative to traditional combination of incisional glaucoma surgery and phacoemulsification, since the newer techniques produce moderate IOP reduction comparable to phacotrabeculectomy, have lower rates of postoperative complications and do not need an intensive postoperative care. These results on comparing filtering with non-filtering glaucoma surgery need to be confirmed in prospective randomized studies.
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