June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Outcome of Combined Phacoemulsification and Endocyclophotocoagulation in Glaucoma
Author Affiliations & Notes
  • Faisal AlMobarak
    Ophthalmology, King Saud University, Riyadh, Saudi Arabia
  • Footnotes
    Commercial Relationships Faisal AlMobarak, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 1869. doi:
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      Faisal AlMobarak; Outcome of Combined Phacoemulsification and Endocyclophotocoagulation in Glaucoma. Invest. Ophthalmol. Vis. Sci. 2013;54(15):1869.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

To evaluate the outcome of combined phacoemulsification and endocyclophotocoagulation in glaucoma

 
Methods
 

209 eyes of 189 patients who undewent combined phaco-ECP and had a minimum followup of one year were included in this retrospective cohort study.The main outcome measures were the reduction in the intraocular pressure, the change in the number of antiglaucoma medications and the rate of postoperative complications. Kaplan-Meier survival analysis was performed.

 
Results
 

Compared to a mean preoperative pressure of 17.9 mmHg, the IOP decreased by 3, 2 and 1.5 mmHg on 12, 24 and 36 months of followup.The number of antiglaucoma medications decreased by one over 36 months. The cumulative probability of success was 87.7%, 77.4% and 60.0% on 12, 24 and 36 months postoperatively. There was a slightly positive correlation between the preoperative and postoperative IOP (Spearman's= 0.13, p=0.04). The most common complications were fibrinous reaction (21 eyes, 10%), IOP spikes > 30 mmHg (21 eyes, 9.6%) and hyphema (2 eyes, 1%). 7 eyes (3.3%) needed a second glaucoma procedure to control the pressure: 3 shunts, 2 Trabeculectomies and 2 trans-scleral cycloablations.

 
Conclusions
 

Phaco-ECP offers a reasonable IOP control with less medications especially on the short term even for eyes that failed filtration procedure. Postoperative complications were few and transient. A small proportion of patients needed a second glaucoma procedure to control the pressure.

 
 
Kaplan-Meier survival curve show that the cumulative survival was 87.3%, 77.4% and 69.0% on 12, 24 and 36 months respectively.
 
Kaplan-Meier survival curve show that the cumulative survival was 87.3%, 77.4% and 69.0% on 12, 24 and 36 months respectively.
 
 
Density scatterplot showing slightly positive correlation between the preoperative and postoperative IOP (ρ=0.13, p=0.04). Dashed red line show the mean preoperative IOP while dashed green line show the final mean IOP.
 
Density scatterplot showing slightly positive correlation between the preoperative and postoperative IOP (ρ=0.13, p=0.04). Dashed red line show the mean preoperative IOP while dashed green line show the final mean IOP.
 
Keywords: 568 intraocular pressure • 578 laser • 445 cataract  
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