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The effect of phacoemulsification on failure of trabeculectomy in uveitic glaucoma patients

Poster Details

First Author: N.Asaho JAPAN

Co Author(s):    E. Takahashi   S. Ohira   K. Iwao   T. Inoue   H. Tanihara        

Abstract Details

Purpose:

To investigate whether phacoemulsification after trabeculectomy affects postoperative intraocular pressure (IOP) in uveitic glaucoma.

Setting:

Department of Opthalmology, Faculty of Life Sciences, Kumamoto University

Methods:

The medical records of patients with uveitic glaucoma who had trabeculectomy with mitomycin-C were reviewed. Successful control of IOP was defined as achieving IOP < or =21 mmHg (condition A), 18mmHg (condition B), or 15 mmHg (condition C) without anti-glaucoma medications (complete success) or with medications (qualified success). Multivariable analysis was performed using the Cox proportional hazards model.

Results:

The records of 82 eyes were reviewed. The mean follow-up was 53.3 months. For condition A and B, there was no significant differences in survival rates between the group with and without phacoemulsification. For condition C, the probability of complete success at 1 year, 2 year, 3 year, 4 year, and 5 year were 56.9%, 51.5%, 44.7%, 36.8%, and 33.5%, and that of qualified success were 58.3%, 52.8%, 48.5%, 40.8%, and 37.7%, respectively. 20 eyes had phacoemulsification after trabeculectomy; 6 of those patients had phacoemulsification within 1 year after trabeculectomy. Multivariate analysis showed that phacoemulsification within 1 year after trabeculectomy was associated with trabeculectomy failure for the probabilities of complete and qualified success for condition C (p=0.022 and p=0.020, respectively).

Conclusions:

Phacoemulsification within 1 year after trabeculectomy was suggested to associate with trabeculectomy failure in patients with uveitic glaucoma.

Financial Disclosure:

NONE

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