Phacotrabeculectomy: peripheral iridectomy or no peripheral iridectomy?
OBJECTIVE
To study the effect of peripheral iridectomy (PI) in phacotrabeculectomy.


METHODS
Academic private glaucoma practice with a primarily white patient population.


METHODS
This retrospective study comprised 126 eyes of 117 patients randomized for PI or no PI during phacotrabeculectomy who were followed for 12 months. Postoperative parameters in both groups included intraocular pressure (IOP), bleb development, visual acuity, and complications.


RESULTS
There were no statistically significant differences between the 2 groups in visual acuity or IOP. Bleb development required significantly more 5-fluorouracil therapy in the no-PI group than in the PI group; however, bleb failure and the need for laser suture lysis were not significantly different between groups. Complications were rare in both groups.


CONCLUSIONS
Phacotrabeculectomy without PI may be an acceptable alternative to the surgical management of co-existing cataract and glaucoma.
Shingleton
Bradford J
BJ
Ophthalmic Consultants of Boston, Center for Eye Research and Education, Boston, Massachusetts 02114, USA.
Chaudhry
Iftikhar M
IM
O'Donoghue
Mark W
MW
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications* / Q000628:therapy; D005260:Female; D005901:Glaucoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016685:Mitomycin / Q000627:therapeutic use; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014130:Trabeculectomy / Q000379:methods*; D014792:Visual Acuity
D016685:Mitomycin