Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients

Medhat A Bakr,1 Naif K Al-Mutairi2 1Immam Abdulrahman Bin Faisal University, King Fahd University Hospital, Ophthalmology Department (Glaucoma Section), Al Khobar, Eastern Province, Kingdom of Saudi Arabia; 2Jeddah Eye Hospital, Jeddah, Kingdom of Saudi ArabiaCorrespondence: Medhat A BakrKing Fahd U...

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Autores principales:	A Bakr M, K Al-Mutairi N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cataract extraction phacoemulsification trabeculectomy glaucoma Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/50981e6dab5e4a8983fa5c34e63db9b8
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spelling	oai:doaj.org-article:50981e6dab5e4a8983fa5c34e63db9b82021-12-02T15:11:24ZLong-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients1177-5483https://doaj.org/article/50981e6dab5e4a8983fa5c34e63db9b82021-08-01T00:00:00Zhttps://www.dovepress.com/long-term-surgical-outcomes-of-phacoemulsification-with-endoscopic-cyc-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Medhat A Bakr,1 Naif K Al-Mutairi2 1Immam Abdulrahman Bin Faisal University, King Fahd University Hospital, Ophthalmology Department (Glaucoma Section), Al Khobar, Eastern Province, Kingdom of Saudi Arabia; 2Jeddah Eye Hospital, Jeddah, Kingdom of Saudi ArabiaCorrespondence: Medhat A BakrKing Fahd University Hospital, Immam Abdulrahman Bin Faisal University, Alaqrabia, Al Khobar, Kingdom of Saudi ArabiaTel +966559753252Email medhat_6@hotmail.comPurpose: To evaluate the long-term surgical outcomes of endoscopic cyclophotocoagulation (ECP) after four years follow-up in cataract and glaucoma patients that needed combined phacoemulsification and ECP (phaco-ECP) in comparison to combined phacoemulsification with trabeculectomy (phaco-trabeculectomy) with mitomycin C (MMC).Patients and Methods: Retrospective case–control study of 34 patients (34 eyes) with glaucoma who underwent phaco-ECP compared with phaco-trabeculectomy in tertiary eye specialist hospital in Saudi Arabia from 2010 to 2012. Participants were enrolled in two groups; ECP and trabeculectomy with MMC when combined with phacoemulsification. Success is defined as complete success when the IOP ≤ 21 mmHg without medication, qualified success when the IOP ≤ 21 mmHg with aid of topical medication.Results: Mean IOP decreased from 25.76 SD ± 8.227 to 15.24 SD ± 7.049 at last visit in phaco-trabeculectomy group and from 21.47 SD ± 4.215 to 12.88 SD ± 3.480 in phaco-ECP group. Mean medication use reduced from 2.89 SD ± 0.3 preoperatively to 1.50 SD ± 1.1 postoperatively (P< 0.001) in phaco-trabeculectomy group. It reduced in phaco-ECP group from 2.24 SD ± 0.8 preoperatively to 2.00 SD ± 0.9 postoperatively, 35.3% of phaco-trabeculectomy group developed vision-threatening complications while 0% in phaco-ECP group (P< 0.001), 29.4% in phaco-trabeculectomy group required second surgical intervention compared to 17.6% in phaco-ECP group. In phaco-trabeculectomy group, 29.4% reached complete success, meanwhile in phaco-ECP group, 64.7% reached qualified success (P=0.026).Conclusion: ECP illustrates significant reduction of IOP and less postoperative complications if associated with phacoemulsification. Furthermore, it is safe and effective as a primary procedure alternative to combined cataract and trabeculectomy surgery for glaucoma patients having cataract and requiring surgical intervention.Keywords: cataract, extraction, phacoemulsification, trabeculectomy, glaucoma; ECP Endoscopic cyclophotocoagulationA Bakr MK Al-Mutairi NDove Medical PressarticlecataractextractionphacoemulsificationtrabeculectomyglaucomaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3573-3580 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract extraction phacoemulsification trabeculectomy glaucoma Ophthalmology RE1-994
spellingShingle	cataract extraction phacoemulsification trabeculectomy glaucoma Ophthalmology RE1-994 A Bakr M K Al-Mutairi N Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
description	Medhat A Bakr,1 Naif K Al-Mutairi2 1Immam Abdulrahman Bin Faisal University, King Fahd University Hospital, Ophthalmology Department (Glaucoma Section), Al Khobar, Eastern Province, Kingdom of Saudi Arabia; 2Jeddah Eye Hospital, Jeddah, Kingdom of Saudi ArabiaCorrespondence: Medhat A BakrKing Fahd University Hospital, Immam Abdulrahman Bin Faisal University, Alaqrabia, Al Khobar, Kingdom of Saudi ArabiaTel +966559753252Email medhat_6@hotmail.comPurpose: To evaluate the long-term surgical outcomes of endoscopic cyclophotocoagulation (ECP) after four years follow-up in cataract and glaucoma patients that needed combined phacoemulsification and ECP (phaco-ECP) in comparison to combined phacoemulsification with trabeculectomy (phaco-trabeculectomy) with mitomycin C (MMC).Patients and Methods: Retrospective case–control study of 34 patients (34 eyes) with glaucoma who underwent phaco-ECP compared with phaco-trabeculectomy in tertiary eye specialist hospital in Saudi Arabia from 2010 to 2012. Participants were enrolled in two groups; ECP and trabeculectomy with MMC when combined with phacoemulsification. Success is defined as complete success when the IOP ≤ 21 mmHg without medication, qualified success when the IOP ≤ 21 mmHg with aid of topical medication.Results: Mean IOP decreased from 25.76 SD ± 8.227 to 15.24 SD ± 7.049 at last visit in phaco-trabeculectomy group and from 21.47 SD ± 4.215 to 12.88 SD ± 3.480 in phaco-ECP group. Mean medication use reduced from 2.89 SD ± 0.3 preoperatively to 1.50 SD ± 1.1 postoperatively (P< 0.001) in phaco-trabeculectomy group. It reduced in phaco-ECP group from 2.24 SD ± 0.8 preoperatively to 2.00 SD ± 0.9 postoperatively, 35.3% of phaco-trabeculectomy group developed vision-threatening complications while 0% in phaco-ECP group (P< 0.001), 29.4% in phaco-trabeculectomy group required second surgical intervention compared to 17.6% in phaco-ECP group. In phaco-trabeculectomy group, 29.4% reached complete success, meanwhile in phaco-ECP group, 64.7% reached qualified success (P=0.026).Conclusion: ECP illustrates significant reduction of IOP and less postoperative complications if associated with phacoemulsification. Furthermore, it is safe and effective as a primary procedure alternative to combined cataract and trabeculectomy surgery for glaucoma patients having cataract and requiring surgical intervention.Keywords: cataract, extraction, phacoemulsification, trabeculectomy, glaucoma; ECP Endoscopic cyclophotocoagulation
format	article
author	A Bakr M K Al-Mutairi N
author_facet	A Bakr M K Al-Mutairi N
author_sort	A Bakr M
title	Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
title_short	Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
title_full	Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
title_fullStr	Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
title_full_unstemmed	Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients
title_sort	long-term surgical outcomes of phacoemulsification with endoscopic cyclophotocoagulation vs phacoemulsification with trabeculectomy and mitomycin in cataract and glaucoma patients
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/50981e6dab5e4a8983fa5c34e63db9b8
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Long-term Surgical Outcomes of Phacoemulsification with Endoscopic Cyclophotocoagulation vs Phacoemulsification with Trabeculectomy and Mitomycin in Cataract and Glaucoma Patients

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