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Safety and effectiveness of modified reverse cyclodialysis in management of open-angle glaucoma in cataract patients

Poster Details

First Author: A.Shradqa RUSSIA

Co Author(s):    K. Vinod   F. Mikhail   D. Galina   B. Andrei           

Abstract Details

Purpose:

To evaluate the safety and effectiveness of modified reverse cyclodialysis in decreasing intraocular pressure (IOP) and hypotensive medication(s) use in cataract patients suffering from open angle glaucoma (OAG).

Setting:

Ophthalmic unit of Skhodnya city hospital, Moscow province; People's friendship university of Russia Medical Institute Department of Ophthalmology, Moscow, Russian Federation.

Methods:

Medical records of 10 cataract patients (10 eyes) suffering from OAG,who have undergone phacoemulsification and a modified reverse cyclodialysis ab interno procedure were retrospectively analyzed. After cataract surgery, a modified reverse cyclodialysis procedure was performed using a specially designed spatula, which was inserted through main incision. Ciliary body was gently detached from sclera, starting at 4 to 5 o'clock and 5-6mm deep. Thirty percent cases (3/10) had failed previous filtering surgery. Outcome measures: IOP change, use of hypotensive medication(s) and complications. Success rates were evaluated using World Glaucoma Association�â�€�™s guidelines. Results were significant when p less than .05.

Results:

Mean baseline IOP was 21,9 �Â�±6,8mmHg and mean number of hypotensive medication use - 2.7�Â�±0,5. At 6 and 12 months mean IOP reduced by 38,8�Â�±23,45 and 42,8�Â�±23,5% and was 12,7 �Â�±5,1mmHg (n=10; p=.0014) and 11,1�Â�±1,2mmHg (n=4; p=.0120); use of medications reduced to 0,8 �Â�±1,3 (p=.0011) and 1,5�Â�±0,07 (p=.1027); complete success achieved in 60% (6/10) and 50% (2/14) cases and partial �â�€�“ in 30(3/10) and 50% (2/4) cases respectively. There was 1 failure case. Intra-operatively some hemorrhage occurred in all cases at the time of separation of uveal tissue from sclera. There was not a single case of hypotony.

Conclusions:

Results of combined surgery - phacoemulsification with IOL implantation and modified reverse cyclodialysis ab interno in surgical management of OAG in cataract patients show significant reduction in IOP from the baseline and in hypotensive medication(s) use.

Financial Disclosure:

NONE

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