Longterm results of one-site phacotrabeculectomy.
OBJECTIVE
To evaluate results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation.


METHODS
A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 +/- 12.3 months (range 12-46 months).


RESULTS
Preoperative mean intraocular pressure (IOP) (25.1 +/- 8.6 mmHg) dropped significantly, to 16.4 +/- 1.3 mmHg 1 year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 +/- 0.49 to 0.22 +/- 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%) we successfully performed scleral flap revision to achieve IOP control.


CONCLUSIONS
One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.
Cagini
Carlo
C
Department of Ophthalmology, University of Perugia, Italy. carlocagini@hotmail.com
Murdolo
Paola
P
Gallai
Raffaella
R
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications / Q000628:therapy; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012449:Safety; D014130:Trabeculectomy / Q000379:methods*; D014792:Visual Acuity
D006820:Hyaluronic Acid