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Cataract surgery combined with trabecular Micro-Bypass Stent implantation in patients with open-angle glaucoma: one year follow-up

Poster Details

First Author: G.Beiko CANADA

Co Author(s):                  

Abstract Details



Purpose:

To determine the effectiveness of IOP control following combined cataract surgery and trabecular micro bypass stent implantation.

Setting:

Private Practise

Methods:

Retrospective analysis of the first 100 patients selected for trabecular micro bypass stent implantation surgery. The patients had visually significant cataracts and medically controlled open angle glaucoma. 6 and 12 month data regarding number of topical medications and intraocular pressure was collected.

Results:

Data on 90 patients was analyzed. All patients received 1 stent except for 11, who received 2. The average age was 78.80 +/- 7.022 yrs; 25.56 % were diabetic. The preop IOP was 16.767 +/- 3.837 mm Hg (range 9 - 26 ); there was a statically significant decrease to 15.310 +/- 2.776 mm Hg (range 9 - 21 ), P=0.004 at 6 months; the IOP remained at the same level at 12 months, 15.885 +/- 3.307 mm Hg (range 8 - 23 ). There was a statistically significant decrease in the number of topical glaucoma meds at 6 and 12 months (P= 0.000). No patient needed an increase in their topical medications for control of glaucoma following this management.

Conclusions:

Trabecular micro bypass stent implantation at the time of cataract surgery offers an opportunity for glaucoma patients to be able to decrease their reliance on topical glaucoma medications. FINANCIAL INTEREST: One of more of the authors... receives consulting fees, retainer, or contract payments from a competing company, One of more of the authors... research is funded, fully or partially, by a competing company

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