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Josselyne Lopez Aliendres, Juan Carlos Izquierdo Villavicencio, Consuelo Gajardo Menzel, Mirel Rincón Sánchez, Carmen Maldonado, Jose Chauca; Comparison of combined glaucoma and cataract surgery: Canaloplasty Ab interno and micropulse v/s ab interno trabeculectomy and endocyclophotocoagulation . Invest. Ophthalmol. Vis. Sci. 2020;61(7):3156.
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To evaluate and compare the efficacy, safety and the outcomes of combined phacoemulsification, micropulse transscleral cyclophotocoagulation plus canaloplasty ab interno versus combined phacoemulsification, endocyclophotocoagulation 360 degrees plus goniotomy using Kahook Dual Blade; for intraocular pressure (IOP) control in patients with open angle glaucoma.
This comparative non-randomized retrospective case series study evaluated the 6-month outcomes of patients with medically controlled open angle glaucoma who underwent combined phacoemulsification with doble glaucoma procedure. 10 Eyes for Phacoemulsification plus micropulse transscleral cyclophotocoagulation and ab interno canaloplasty and 27 eyes for combined Phacoemulsification plus Endocyclophotocoagulation 360 degrees with Goniotomy using Kahook Dual Blade. The primary outcome was mean preoperative and postoperative intraocular pressure; the secondary outcomes included the reduction in number of glaucoma medications, visual acuity, and complications.
10 eyes were included in combined phacoemulsification, micropulse transscleral cyclophotocoagulation plus canaloplasty ab interno; intraocular pressure was 14.19±8.92 mmHg (p=0.032) at the lowest mean IOP (13.5 mm Hg, 20% decrease) (p=0.003) for the group respectively at baseline and 6-month follow-up and medications decreased from 3 to 1. With respect to phacoemulsification, Endocyclophotocoagulation 360 degrees plus goniotomy using Kahook Dual Blade, forty-nine eyes of 37 patients were included; intraocular pressure at baseline was 16.96±3.66 mmHg and the reduction IOP was 11.44 ± 2.15 mmHg (32.5%) (p=0.031) and medications decreased from 2.0±1.4 to 0.8±1.0 (p<0.001).
Both procedures achieved efficient and safe reduction in intraocular pressure in patients with uncontrolled open angle glaucoma at the 6-month follow up.
This is a 2020 ARVO Annual Meeting abstract.
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