Abstract
Purpose::
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.
Methods::
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.
Results::
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.
Conclusions::
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.
Keywords: cataract • intraocular pressure • visual acuity