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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



Purpose:

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

Setting:

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.

Methods:

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).

Results:

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.

Conclusions:

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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