Temporal corneal phacoemulsification in patients with filtered glaucoma

Hyun Joon Park; Young Ha Kwon; Marc Weitzman; Joseph Caprioli

doi:10.1001/archopht.1997.01100160545003

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Temporal corneal phacoemulsification in patients with filtered glaucoma

Journal article

Peer reviewed

Temporal corneal phacoemulsification in patients with filtered glaucoma

Hyun Joon Park, Young Ha Kwon, Marc Weitzman and Joseph Caprioli

Archives of ophthalmology (1960), Vol.115(11), pp.1375-1380

11/1997

DOI: 10.1001/archopht.1997.01100160545003

PMID: 9366666

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Abstract

To evaluate the effect of temporal clear corneal phacoemulsification on intraocular pressure (IOP) in eyes that underwent prior trabeculectomy. Retrospective case-control study. Forty consecutive patients who underwent temporal clear corneal phacoemulsification subsequent to trabeculectomy (trabeculectomy-phacoemulsification group) were identified, and 40 control patients who underwent trabeculectomy alone (trabeculectomy group) were matched to the case patients for length of follow-up, age, IOP, number of antiglaucoma medications, number of 5-fluorouracil injections, race, sex, and diagnosis. Intraocular pressure before vs 1 year after phacoemulsification in the trabeculectomy-phacoemulsification group compared with IOP in the trabeculectomy group and survival analysis of IOP control after trabeculectomy in the 2 groups. In the trabeculectomy-phacoemulsification group, IOP 1 year after phacoemulsification was not significantly different from the prephacoemulsification IOP value (P = .65). Kaplan-Meier survival analysis showed that the rates of IOP control 3, 6, and 9 years after trabeculectomy in the trabeculectomy-phacoemulsification group were 80%, 66%, and 44%, respectively; in the trabeculectomy group, these were 79%, 69%, and 55%, respectively. These survival curves were not statistically different (P = .55). Cataract surgery by temporal clear corneal phacoemulsification in eyes with filtering blebs after trabeculectomy does not adversely affect long-term IOP control.

Trabeculectomy

Cornea - surgery

Phacoemulsification - methods

Follow-Up Studies

Humans

Middle Aged

Intraocular Pressure - physiology

Male

Glaucoma - surgery

Visual Acuity

Case-Control Studies

Survival Analysis

Aged, 80 and over

Female

Aged

Retrospective Studies

Details

Title: Subtitle: Temporal corneal phacoemulsification in patients with filtered glaucoma
Creators: Hyun Joon Park - Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Conn., USA
Young Ha Kwon
Marc Weitzman
Joseph Caprioli
Resource Type: Journal article
Publication Details: Archives of ophthalmology (1960), Vol.115(11), pp.1375-1380
DOI: 10.1001/archopht.1997.01100160545003
PMID: 9366666
NLM abbreviation: Arch Ophthalmol
ISSN: 0003-9950
eISSN: 1538-3601
Publisher: American Medical Association; United States
Language: English
Date published: 11/1997
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983980006002771

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