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K. R. Pugh, B. Black; One Year Surgical Outcomes in Patients Undergoing Combined Cataract Surgery & Endoscopic Cyclophotocoagulation versus Cataract Surgery Alone. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1072.
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To describe 1 year surgical outcomes (e.g. visual acuity, manifest refraction, & intraocular pressure) in patients undergoing cataract surgery versus combined cataract surgery & endoscopic cyclophotocoagulation (ECP) by a single surgeon. The effect of ECP during combined cataract surgery on targeted refractions & visual acuity has not yet been described. In addition, very little data exists pertaining to the effect of combined cataract surgery and ECP on IOP reduction.
Comparative Nonrandomized Retrospective Consecutive Case Series. Medical records of 25 consecutive eyes undergoing cataract surgery & 25 consecutive eyes undergoing combined cataract surgery & ECP by a single surgeon (BB) were reviewed and will be presented. Primary outcomes include pre- & post-operative IOP, visual acuity & manifest refraction.
Clincial data wtih statistical analyses will be presented from 1 day, 1 month, 6 months, & 1 year follow-up visits. Surgical techniques will be described. There was statistically significant IOP-lowering in patients undergoing combined cataract & ECP surgery versus cataract surgery alone. Visual acuity & manifest refractions were similar in both groups. Combined cataract surgery & ECP did not have a deleterious effect on visual acuity, or targeted post-operative patient refractions (e.g. no surgical induced myopia). There were no identified cases of hypotony.
Combined cataract surgery & ECP is more effective at lowering IOP than cataract surgery alone. Post-operative visual acuity, & targeted patient refractions do not appear to be altered by the addition of ECP to cataract surgery.
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