Long-term intraocular pressure control after cataract extraction with trabeculectomy: phacoemulsification versus extracapsular technique.
OBJECTIVE
To compare long-term intraocular pressure (IOP) control after extracapsular cataract extraction and intraocular lens (IOL) implantation combined with trabeculectomy (ECCE + TRAB) with that after phacotrabeculectomy and IOL implantation.


METHODS
Glaucoma Unit, Royal Liverpool University Hospital, Liverpool, England.


METHODS
This retrospective study comprised 32 eyes having ECCE + TRAB and 31 eyes having phacotrabeculectomy with a mean follow-up of 37.5 and 41.0 months, respectively. The need for pressure-lowering medication was recorded. Kaplan-Meier curves were created for each group.


RESULTS
At every measurement after 3 weeks of follow-up, significantly fewer eyes in the phacotrabeculectomy group required IOP-lowering medication (P = .04).


CONCLUSIONS
After both ECCE + TRAB and phacotrabeculectomy, IOP control was achieved in significantly more eyes on fewer pressure-lowering medications than preoperatively. Phacotrabeculectomy with IOL implantation led to better unaided long-term postoperative IOP control than ECCE + TRAB with IOL implantation.
Kosmin
A S
AS
Wishart
P K
PK
Ridges
P J
PJ
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects / Q000502:physiology*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014130:Trabeculectomy; D016896:Treatment Outcome