Bimanual microincisional phacoemulsification combined with viscocanalostomy plus deeper sclerectomy
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Date
2009
Authors
Timuçin, Özgür Bülent
Journal Title
Journal ISSN
Volume Title
Publisher
Sage Publications
Abstract
PURPOSE. The aim of the study was to evaluate the safety and effectiveness of a new technique, two-site bimanual microincisional cataract surgery combined with viscocanalostomy plus deeper sclerectomy (two-site bimanual MICS-VC-DS), in patients with cataract and glaucoma.
METHODS. Noncomparative, interventional case series. From December 2005 to October 2007, a consecutive series of 12 patients (12 eyes) with uncontrolled primary open angle glaucoma (POAG) and cataract have undergone two-site bimanual MICS-VC-DS. Postoperative evaluation included visual acuity (VA), intraocular pressure (IOP), average retinal nerve fiber layer (RNFL) thickness measurement, and gonioscopic, biomicroscopic, and funduscopic examination. Paired-samples t test was used. A p value of <0.05 was taken as significant.
RESULTS. The mean duration of follow-up was 14.6 months (SD 5.8). At 9 months, mean IOP was 17.0 (SD 4), the mean IOP reduction was 13.2 mmHg (SD 5.86). At 9 months post-surgery, the complete success rate was 75%. Qualified success was achieved in 100% of patients. At 9 months, the mean number of antiglaucoma medications was 0.58 (SD 1.24) (p<0.05). Visual acuity improved by a mean value of 2.8 lines. Average RNFL thickness did not change significantly during the follow-up period (p=0.781).
CONCLUSIONS. Two-site bimanual MICS-VC-DS appears to be an effective and safe procedure with quick visual rehabilitation, acceptable mid-term IOP control, and the advantage of having fewer complications.
Description
Keywords
Cataract surgery, Glaucoma surgery, Viscocanalostomy, Open-angle glaucoma, Combined cataract, Intraocular-pressure, Trabecular meshwork, Combined surgery, Ab externo, Implant, Eyes, Outflow, Ophthalmology
Citation
Baykara, M. ve Timuçin, Ö. B. (2009). "Bimanual microincisional phacoemulsification combined with viscocanalostomy plus deeper sclerectomy". European Journal of Ophthalmology, 19(3), 384-392.