[Combined phacoemulsification with trabecular aspiration with differing outcomes in pseudoexfoliative glaucoma - a retrospective study].
BACKGROUND
The aim of this study was to differentiate the pressure-reducing results following trabecular aspiration combined with small incision cataract surgery in eyes with pseudoexfoliation depending on preoperative pressure and medication score.


METHODS
A retrospective analysis was made of 104 exfoliative eyes of 104 patients who underwent combined phaco/trabecular aspiration. Success was defined as a relative reduction of IOP of at least 20 %, absolute IOP of ≤ 20 mmHg, stable or reduced medication score and a lack of any further pressure-reducing surgery.


RESULTS
The success rate was 0.68 and 0.64 after 1 and 2 years. In eyes with medically uncontrolled preoperative IOP (> 20 mmHg) the IOP dropped significantly from 25.4 ± 4.3 mmHg to 17.0 ± 3.4 mmHg after two years. In eyes with preoperative controlled IOP the pressure lowering effect was low (17.1 ± 2.3 to 15.9 ± 2.3 mmHg) with a significant reduction of medication.


CONCLUSIONS
Combined cataract surgery and trabecular aspiration is a reasonable option in exfoliative eyes with IOP values in the low twenties in order to achieve a reduction of topical medications and to reach a stable IOP level.
Augenzentrum Tölzer Land, Bad Tölz. dinslage@augenarzt-bad-toelz.de
S
S
Dinslage
A
A
Rosentreter
A M
AM
Schild
J F
JF
Jordan
R
R
Widder
T S
TS
Dietlein
D000368:Aged; D003131:Combined Modality Therapy; D017889:Exfoliation Syndrome / Q000601:surgery*; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D012189:Retrospective Studies; D013396:Suction / Q000379:methods*; D014129:Trabecular Meshwork / Q000601:surgery*; D016896:Treatment Outcome