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Initial experience with trabectome combined with phacoemulsification

Poster Details

First Author: A.Einan-Lifshitz ISRAEL

Co Author(s):    N. Shoham Hazon   L. Or   N. Shoshany   I. Avni   A. Kaplan        

Abstract Details


To describe safety and treatment outcomes after Trabectome-Phacoemulsification surgeries in eyes with well controlled open-angle glaucoma and cataract.


Assaf Harofeh medical center, Israel.


Ten first cases of Trabectome surgery were performed in combination with cataract surgery in patients with open angel glaucoma. Main outcome measures were IOP reduction and lowering of anti-glaucoma medication. Intraoperative and postoperative aspects and complications were documented systematically. Anterior segment OCT was performed postoperatively to demonstrate the trabeculotomy.


The average age was 76.44 ± 8.03. Preoperative mean IOP was 17.11 ± 2.42 mm Hg; the number of glaucoma medications was 2 ± 1.15. Postoperatively, mean IOP was reduced by 28.12% to 12.3 ± 3.43 mm Hg and the number of glaucoma medications was reduced to 1.6 ± 0.84 In 5 cases the surgeon graded the surgical procedure as “easy” and in 2 as “moderate”. Intraoperative reflux bleeding occurred in 9 cases.


Minimal invasive glaucoma surgery with the Trabectome in combination with cataract surgery is safe, with a fast learning curve. Bigger series are required to demonstrate efficacy.

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