title: Intraocular Pressure Control after Trabeculectomy, Phacotrabeculectomy and Phacoemulsification in a Hispanic Population.
abstract: OBJECTIVE
  To compare the efficacy of different surgical strategies for intraocular pressure (IOP) control in Hispanic glaucoma patients with and without visually significant cataracts.
  
  
  METHODS
  Comparative retrospective consecutive case series.
  
  
  METHODS
  The charts of 153 consecutive patients with primary open angle glaucoma who underwent either trabeculectomy alone (n = 51), phacotrabeculectomy (n = 51), or phacoemulsification alone (n = 51) were reviewed to compare IOP control, the number of glaucoma medications required postoperatively, and the inci dence of surgical complications.
  
  
  RESULTS
  Preoperative IOP was 17.5 ± 5.2 mm Hg in the trabe-culectomy group, 15.4 ± 4.5 mm Hg in the phacotrabeculectomy group and 13.9 ± 2.9 mm Hg in the phacoemulsification group (p < 0.001 for all comparisons). Mean IOP reduction from baseline was 4.2 ± 6.9 (24.6%) for the trabeculectomy group, 2.9 ± 5.0 (20.8%) for the phacotrabeculectomy group, and 0.9 ± 3.4 (6.5%) for the phacoemulsification group (p = 0.009). The number of IOP-lowering medications required postoperatively decreased significantly in all three groups (p = 0.001). The rate of early and late postoperative complications was similar between the trabeculectomy and phacotrabeculectomy groups and less for the phacoemulsification group.
  
  
  CONCLUSIONS
  Trabeculectomy and phacotrabeculectomy are both viable surgical options for managing open angle glau coma. Both resulted in similar rates of success, IOP reduction, decrease in use of IOP-lowering medications and post operative complication rates. Phacoemulsification alone had a lower success rate and greater need for postoperative IOP-lowering medications compared to trabeculectomy alone or phacotrabeculectomy. Phacoemulsification alone may be a reasonable option for patients with visually significant cataract and lower baseline IOP. How to cite this article: Jung JL, Isida-Llerandi CG, Lazcano-Gomez G, SooHoo JR, Kahook MY. Intraocular Pressure Control after Trabeculectomy, Phacotrabeculectomy and Phaco-emulsification in a Hispanic Population. J Curr Glaucoma Pract 2014;8(2):67-74.
authors.affiliation: Instructor, Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: L Jung
authors.affiliation: Glaucoma Fellowship, Asociacion para evitar la ceguera en Mexico IAP, Vicente Garcia Torres 46, San Lucas Coyoacan, DF, Maxico.
authors.forename: Cristina G
authors.initials: CG
authors.lastname: Isida-Llerandi
authors.affiliation: Glaucoma Associate Professor, Asociacion para evitarla ceguera en Mexico IAP, Vicente Garcia Torres 46, San Lucas Coyoacan, DF, Maxico.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Lazcano-Gomez
authors.affiliation: Assistant Professor, Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: SooHoo
authors.affiliation: Professor, Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
authors.forename: Malik Y
authors.initials: MY
authors.lastname: Kahook
keywords: Hispanic population.; Intraocular pressure; Trabecutectomy