title: Intra-individual comparison after combined phaco-trabecular aspiration in pairs of pseudoexfoliative eyes.
abstract: BACKGROUND
  Trabecular aspiration is used for combined glaucoma-cataract surgery in coexisting pseudoexfoliation syndrome (XFS) or glaucoma (XFG). Reports on this technique are limited to a few small-scale studies. In this study, we wanted to elucidate whether the result of combined phacoemulsification with trabecular aspiration in the first operated eye is predictive for outcome in the contralateral eye.
  
  
  METHODS
  In a retrospective analysis we compared the results from 80 eyes of 40 patients with pseudoexfoliation syndrome or glaucoma, who had undergone bilateral but consecutive phacoemulsification with implantation of a posterior chamber lens combined with trabecular aspiration between 2003 and 2005.
  
  
  RESULTS
  The IOP level and medication score after phaco-trabecular aspiration were shown to be significantly lower than the preoperative values after 2 years (p < 0.0001 and p = 0.047). A significant correlation between the first and second eye was detected for reduction of IOP and medication score after 1 year. Kaplan-Meier graphs of the first and second eyes showed an almost parallel trend from 1 day after surgery until 35 months after surgery.
  
  
  CONCLUSIONS
  The postoperative outcome in an eye after combined phaco-trabecular aspiration is predictive for the second eye. If this procedure succeeded in the first eye, the prognosis for the same strategy in the fellow eye is also good.
authors.affiliation: Department of Ophthalmology, University of Cologne, Joseph-Stelzmann-Str. 9, 50931 Köln, Germany. andre-rosen@web.de
authors.forename: André
authors.initials: A
authors.lastname: Rosentreter
authors.forename: Sven
authors.initials: S
authors.lastname: Dinslage
authors.forename: Günter K
authors.initials: GK
authors.lastname: Krieglstein
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Dietlein
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage; D002386:Cataract / Q000503:physiopathology / Q000628:therapy; D017889:Exfoliation Syndrome / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D007839:Functional Laterality; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D011184:Postoperative Period; D012189:Retrospective Studies; D014065:Tonometry, Ocular; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000959:Antihypertensive Agents
references.citation: Arch Ophthalmol. 1999 Oct;117(10):1311-8
references.pmid: 10532439
references.citation: Trans Am Ophthalmol Soc. 1973;71:128-48; discussions 148-51
references.pmid: 10949594
references.citation: Graefes Arch Clin Exp Ophthalmol. 2000 Oct;238(10):816-21
references.pmid: 11127567
references.citation: Ophthalmology. 1998 May;105(5):886-94
references.pmid: 9593393
references.citation: Br J Ophthalmol. 2005 May;89(5):597-601
references.pmid: 15834092
references.citation: Curr Opin Ophthalmol. 1997 Apr;8(2):73-9
references.pmid: 10168362
references.citation: Ophthalmology. 2000 Mar;107(3):417-21
references.pmid: 10711875
references.citation: Klin Monbl Augenheilkd. 2008 Feb;225(2):155-8
references.pmid: 18293268
references.citation: Klin Monbl Augenheilkd. 2006 Mar;223(3):225-9
references.pmid: 16552655
references.citation: Invest Ophthalmol Vis Sci. 1995 Oct;36(11):2270-6
references.pmid: 7558721
references.citation: Eur J Ophthalmol. 2008 Jul-Aug;18(4):551-5
references.pmid: 18609473
references.citation: J Cataract Refract Surg. 2001 Nov;27(11):1854-63
references.pmid: 11709261
references.citation: Graefes Arch Clin Exp Ophthalmol. 2000 Jul;238(7):545-51
references.pmid: 10955654
references.citation: Acta Ophthalmol (Copenh). 1978 Dec;56(6):921-34
references.pmid: 726888
references.citation: Arch Ophthalmol. 1992 Dec;110(12):1757-62
references.pmid: 1463419
references.citation: Acta Ophthalmol Scand. 2007 Dec;85(8):810-21
references.pmid: 17376188
references.citation: Curr Opin Ophthalmol. 2001 Apr;12(2):124-30
references.pmid: 11224719
references.citation: Ophthalmology. 2002 May;109(5):992-7
references.pmid: 11986109