Real Life One-Year Data After Combined Cataract Surgery With Excimer Laser Trabeculostomy Versus Cataract Surgery Alone In Open-Angle Glaucoma In A Community-Based Outpatient Setting
Published 2026 - 44th Congress of the ESCRS
Reference: PP27.06 | Type: Free paper | DOI: 10.82333/qh5r-wb90
Authors: Dr Fidan Aghayeva* 1 , Dr Abdelrahman Assaf 2 , A/Prof. Ines Lanzl 3
1Technical University of Munich,Munich,Germany;Chiemsee Eye Clinic,Prien on Chiemsee,Germany, 2Ophthalmology,Ulm University Eye Clinic,Ulm,Germany, 3Ophthalmology,Technical University of Munich,Munich,Germany;Chiemsee Eye Clinic,Prien on Chiemsee,Germany
Purpose
This study aims to evaluate and compare intraocular pressure (IOP) change and number of topical IOP-lowering medications after combined cataract surgery with excimer laser trabeculostomy (ELT/ELIOSTM) versus cataract surgery alone in patients with open-angle glaucoma.
Setting
Prospective comparative chart evaluation
Methods
Prospective data of 42 patients (80 eyes) with different types of open-angle glaucoma, who were naïve to any previous intraocular procedure and underwent either combined cataract surgery with ELT (phaco-ELT group - 40 eyes) or cataract surgery alone (control group - 40 eyes), was performed. Study outcomes were median IOP change in the operated eye and mean number of topical IOP-lowering medications at 1, 3, 6, 9, and 12 months after surgery.
Results
The median pre- and postoperative IOP in phaco-ELT group at 1, 3, 6, 9, and 12 months were 14 (12-17.75) mmHg, 14 (11-15.5) mmHg, 11.5 (10-14) mmHg, 10.5 (9-13.75) mmHg, 12 (10-14) mmHg, and 12.5 (11-14) mmHg, respectively. The median IOP reduction at 6- and 12 months follow-up resulted in -3 (-5 to 0.5) mmHg and -2 (-5 to 0.75) mmHg, respectively. The postoperative IOP was statistically significantly lower than the preoperative level in both groups at last follow-up (p<0.001). We found a statistically significant difference between the mean number of topical IOP-lowering medications before and after combined surgery (p<0.001) with 80% of eyes medication-free, while the control group showed no reduction of preoperative medications.
Conclusions
This study shows a statistically significant reduction of IOP and topical IOP-lowering medications at 12 months after combined cataract surgery with ELT.