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Temporal Corneal Phacoemulsification in Patients With Filtered Glaucoma

Temporal Corneal Phacoemulsification in Patients With Filtered Glaucoma Abstract Objective: To evaluate the effect of temporal clear corneal phacoemulsification on intraocular pressure (IOP) in eyes that underwent prior trabeculectomy. Design: Retrospective case-control study. Patients: Forty consecutive patients who underwent temporal clear corneal phacoemulsification subsequent to trabeculectomy (trabeculectomy-phacoemulsification group) were identified, and 40 control patients who underwent trabeculectomy alone (trabeculectomy group) were matched to the case patients for length of follow-up, age, IOP, number of antiglaucoma medications, number of 5-fluorouracil injections, race, sex, and diagnosis. Main Outcome Measures: Intraocular pressure before vs 1 year after phacoemulsification in the trabeculectomy-phacoemulsification group compared with IOP in the trabeculectomy group and survival analysis of IOP control after trabeculectomy in the 2 groups. Results: In the trabeculectomy-phacoemulsification group, IOP 1 year after phacoemulsification was not significantly different from the prephacoemulsification IOP value (P=.65). Kaplan-Meier survival analysis showed that the rates of IOP control 3, 6, and 9 years after trabeculectomy in the trabeculectomy-phacoemulsification group were 80%, 66%, and 44%, respectively; in the trabeculectomy group, these were 79%, 69%, and 55%, respectively. These survival curves were not statistically different (P=.55). Conclusion: Cataract surgery by temporal clear corneal phacoemulsification in eyes with filtering blebs after trabeculectomy does not adversely affect longterm IOP control. References 1. Shields MB. Combined cataract extraction and guarded sclerectomy: reevaluation in extracapsular era . Ophthalmology . 1986;93:366-370.Crossref 2. Simmons ST, Litoff D, Nichols DA, et al. Extracapular cataract extraction and posterior chamber intraocular lens implantation combined with trabeculectomy in patients with glaucoma . Am J Opthalmol . 1987;104:465-470. 3. Murchison JF Jr, Shields MB. An evaluation of three surgical approaches for coexisting cataract and glaucoma . Ophthalmic Surg . 1989;20:393-398. 4. Scheie HG. A method of cataract extraction following filtering operations for glaucoma . Arch Ophthalmol . 1956;55:818-829.Crossref 5. Scheie HG, Muirhead JF. Cataract extraction following filtering operations for glaucoma . Arch Ophthalmol . 1962;66:37-41.Crossref 6. Regan EF, Day RM. Cataract extraction after filtering procedures . Am J Ophthalmol . 1971;71:331-333. 7. Baloglou P, Matta C, Asdourian K. Cataract extraction after filtering operation . Arch Ophthalmol . 1972;88:12-15.Crossref 8. Kondo T. Cataract extraction after filtering operation . Glaucoma . 1979;1:165-175. 9. Oyakawa RT, Maumenee AE. Clear cornea cataract extraction in eyes with functioning filtering bleb . Am J Ophthalmol . 1982;93:294-298. 10. Savage JA, Thomas JV, Belcher CD, Simmons RJ. Extracapsular cataract extraction and posterior chamber intraocular lens implantation in glaucomatous eyes . Ophthalmology . 1985;92:1506-1516.Crossref 11. Brooks AM, Gillies WE. The effect of cataract extraction with implant in glaucomatous eye . Aust N Z J Ophthalmol . 1992;20:235-238.Crossref 12. Drolsum L, Haaskjold E. Extracapsular cataract extraction in eyes previously operated for glaucoma . Acta Ophthalmol . 1994;72:273-278.Crossref 13. Yamagami S, Araie M, Mori M, Mishima K. Posterior chamber intraocular lens implantation in filtered or nonfiltered glaucoma eyes . Jpn J Ophthalmol . 1994;38:71-94. 14. Weitzman M, Caprioli J. Temporal corneal phacoemulsification combined with separate-incision superior trabeculectomy . Ophthalmic Surg . 1995;26:271-273. 15. Norusis MJ. SPSS for Windows Advanced Statistics Release 6.0 . Chicago, Ill: SPSS Inc; 1993:275-312. 16. Dawson-Saunders B, Trapp RG. Basic & Clinical Biostatistics . 2nd ed. East Norwalk, Conn: Appleton & Lange; 1994:221-222. 17. Kass MA. Cataract extraction in an eye with a filtering bleb . Ophthalmology . 1982;89:871-874.Crossref 18. Park HJ, Weitzman M, Caprioli J. Temporal corneal phacoemulsification combined with superior trabeculectomy . Arch Ophthalmol . 1997;115:318-323.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Temporal Corneal Phacoemulsification in Patients With Filtered Glaucoma

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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100160545003
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To evaluate the effect of temporal clear corneal phacoemulsification on intraocular pressure (IOP) in eyes that underwent prior trabeculectomy. Design: Retrospective case-control study. Patients: Forty consecutive patients who underwent temporal clear corneal phacoemulsification subsequent to trabeculectomy (trabeculectomy-phacoemulsification group) were identified, and 40 control patients who underwent trabeculectomy alone (trabeculectomy group) were matched to the case patients for length of follow-up, age, IOP, number of antiglaucoma medications, number of 5-fluorouracil injections, race, sex, and diagnosis. Main Outcome Measures: Intraocular pressure before vs 1 year after phacoemulsification in the trabeculectomy-phacoemulsification group compared with IOP in the trabeculectomy group and survival analysis of IOP control after trabeculectomy in the 2 groups. Results: In the trabeculectomy-phacoemulsification group, IOP 1 year after phacoemulsification was not significantly different from the prephacoemulsification IOP value (P=.65). Kaplan-Meier survival analysis showed that the rates of IOP control 3, 6, and 9 years after trabeculectomy in the trabeculectomy-phacoemulsification group were 80%, 66%, and 44%, respectively; in the trabeculectomy group, these were 79%, 69%, and 55%, respectively. These survival curves were not statistically different (P=.55). Conclusion: Cataract surgery by temporal clear corneal phacoemulsification in eyes with filtering blebs after trabeculectomy does not adversely affect longterm IOP control. References 1. Shields MB. Combined cataract extraction and guarded sclerectomy: reevaluation in extracapsular era . Ophthalmology . 1986;93:366-370.Crossref 2. Simmons ST, Litoff D, Nichols DA, et al. Extracapular cataract extraction and posterior chamber intraocular lens implantation combined with trabeculectomy in patients with glaucoma . Am J Opthalmol . 1987;104:465-470. 3. Murchison JF Jr, Shields MB. An evaluation of three surgical approaches for coexisting cataract and glaucoma . Ophthalmic Surg . 1989;20:393-398. 4. Scheie HG. A method of cataract extraction following filtering operations for glaucoma . Arch Ophthalmol . 1956;55:818-829.Crossref 5. Scheie HG, Muirhead JF. Cataract extraction following filtering operations for glaucoma . Arch Ophthalmol . 1962;66:37-41.Crossref 6. Regan EF, Day RM. Cataract extraction after filtering procedures . Am J Ophthalmol . 1971;71:331-333. 7. Baloglou P, Matta C, Asdourian K. Cataract extraction after filtering operation . Arch Ophthalmol . 1972;88:12-15.Crossref 8. Kondo T. Cataract extraction after filtering operation . Glaucoma . 1979;1:165-175. 9. Oyakawa RT, Maumenee AE. Clear cornea cataract extraction in eyes with functioning filtering bleb . Am J Ophthalmol . 1982;93:294-298. 10. Savage JA, Thomas JV, Belcher CD, Simmons RJ. Extracapsular cataract extraction and posterior chamber intraocular lens implantation in glaucomatous eyes . Ophthalmology . 1985;92:1506-1516.Crossref 11. Brooks AM, Gillies WE. The effect of cataract extraction with implant in glaucomatous eye . Aust N Z J Ophthalmol . 1992;20:235-238.Crossref 12. Drolsum L, Haaskjold E. Extracapsular cataract extraction in eyes previously operated for glaucoma . Acta Ophthalmol . 1994;72:273-278.Crossref 13. Yamagami S, Araie M, Mori M, Mishima K. Posterior chamber intraocular lens implantation in filtered or nonfiltered glaucoma eyes . Jpn J Ophthalmol . 1994;38:71-94. 14. Weitzman M, Caprioli J. Temporal corneal phacoemulsification combined with separate-incision superior trabeculectomy . Ophthalmic Surg . 1995;26:271-273. 15. Norusis MJ. SPSS for Windows Advanced Statistics Release 6.0 . Chicago, Ill: SPSS Inc; 1993:275-312. 16. Dawson-Saunders B, Trapp RG. Basic & Clinical Biostatistics . 2nd ed. East Norwalk, Conn: Appleton & Lange; 1994:221-222. 17. Kass MA. Cataract extraction in an eye with a filtering bleb . Ophthalmology . 1982;89:871-874.Crossref 18. Park HJ, Weitzman M, Caprioli J. Temporal corneal phacoemulsification combined with superior trabeculectomy . Arch Ophthalmol . 1997;115:318-323.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1997

References