Combined Phacoemulsification with Trabecular Aspiration with Differing Outcomes in Pseudoexfoliative Glaucoma - a Retrospective Study

被引:10
作者
Dinslage, S. [1 ,2 ]
Rosentreter, A. [2 ]
Schild, A. M. [2 ]
Jordan, J. F. [3 ]
Widder, R. [4 ]
Dietlein, T. S. [2 ]
机构
[1] Augenzentrum Tolzer Land, D-83646 Bad Tolz, Germany
[2] Univ Kliniken Koln, Augenklin, Cologne, Germany
[3] Univ Kliniken Freiburg, Augenklin, Freiburg, Germany
[4] St Martinus Krankenhaus, Augenklin, Dusseldorf, Germany
关键词
cataract; glaucoma; pseudoexfoliation syndrome; trabecular aspiration; SELECTIVE LASER TRABECULOPLASTY; INTRAOCULAR-PRESSURE; EXFOLIATION SYNDROME; EYES; CATARACT;
D O I
10.1055/s-0031-1282014
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Introduction: 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. Patients and 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 +/- 4.3mmHg 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 +/- 2.3mmHg) 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.
引用
收藏
页码:641 / 644
页数:4
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