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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


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


Department of Opthalmology, Faculty of Life Sciences, Kumamoto University


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.


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).


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

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