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Phacotrabeculectomy compared to phacoemulsification with ExPRESS device implantation in intraocular pressure reduction for open-angle glaucoma treatment

Poster Details

First Author: J.Konopinska POLAND

Co Author(s):    E. Saeed   M. Rekas   Z. Mariak        

Abstract Details


To evaluate two surgery methods: phacotrabeculectomy and phacoemulsification with Ex Press device implantation in intraocular pressure decreasion for the open-angle glaucoma treatment.


The participants were 15 men and 24 women in age between 56 and 90 (77 average) hospitalized in Ophthalmology Clinic of the Medical University of Bialystok, Poland, in 2013-2014.


Foreword prospective study of 44 eyes from 39 patients suffering from the open-angle glaucoma qualified for phacoemulsification with Ex Press device implantation (group I, n=27) and phacotrabeculectomy (group II, n=17).


6 months after surgery in all patients a statistically significant decrease of intraocular pressure after surgery was observed (p <0.05). In the eyes, which underwent phaco- Ex-Press surgery - postoperative drop was 15.44 mmHg (mean value 30.35 mmHg before surgery to 15.78 mmHg after surgery). After phaco-trabeculectomy IOP decreased of 17.71 mmHg (mean 29.42 value mmHg before surgery to 11.71 mmHg postoperative). Less amount of intra- and postoperative complications as well as a smaller amount of the post op. intervention were observed in the phaco- Ex-Press surgery group.


Combined phaco- Ex-Press surgery causes less expressed reduction in intraocular pressure compared with phaco-trabeculectomy. It is also characterized with more safety profile and less number of interventions in the postoperative period. FINANCIAL INTEREST: NONE

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