Phacoemulsification, intraocular lens implantation, and trabeculotomy to treat pseudoexfoliation syndrome.
OBJECTIVE
To determine the long-term risk/benefit ratio of phacoemulsification and intraocular lens (IOL) implantation combined with trabeculotomy to manage eyes with pseudoexfoliation syndrome and co-existing cataract.


METHODS
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine; Kurihara Eye Clinic; Departments of Ophthalmology, Tenri Hospital, Kumamoto University, and Matsue Red Hospital; Nagata Eye Clinic, Japan.


METHODS
This multicenter retrospective study comprised 49 eyes of 36 patients with pseudoexfoliation syndrome and co-existing cataract who had the combined procedure for uncontrolled intraocular pressure (IOP) (> 21 mm Hg) even on antiglaucoma medication.


RESULTS
After a mean follow-up of 20.0 months +/- 13.2 (SD), IOP in all 49 eyes was well controlled (< or = 21 mm Hg). Mean IOP at the final examination was 14.6 +/- 2.6 mm Hg on a mean of 0.9 +/- 0.8 glaucoma medications. Complications included an IOP spike in 11 eyes and fibrin exudation in 1 eye.


CONCLUSIONS
Phacoemulsification and IOL implantation combined with trabeculotomy was an effective treatment for patients with pseudoexfoliation syndrome and cataract.
Honjo
M
M
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Japan.
Tanihara
H
H
Inatani
M
M
Honda
Y
Y
Ogino
N
N
Ueno
S
S
Negi
A
A
Ichioka
H
H
Mizoguchi
T
T
Matsumura
M
M
Nagata
M
M
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D017889:Exfoliation Syndrome / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D018570:Risk Assessment; D014130:Trabeculectomy / Q000379:methods; D016896:Treatment Outcome