Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population

Ahmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +9...

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Autores principales:	Al Habash A, Khan O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	open angle glaucoma minimally invasive glaucoma surgery istent trabecular microbypass Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9c8154ff1c9e4bcb825a9df52bc7b5af
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spelling	oai:doaj.org-article:9c8154ff1c9e4bcb825a9df52bc7b5af2021-12-02T09:11:28ZOutcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population1177-5483https://doaj.org/article/9c8154ff1c9e4bcb825a9df52bc7b5af2020-06-01T00:00:00Zhttps://www.dovepress.com/outcomes-of-combined-istent-trabecular-micro-bypass-and-cataract-surge-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ahmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To assess the effectiveness and safety of a single iStent trabecular micro-bypass stent implantation in combination with cataract surgery in lowering the intra ocular pressure (IOP) and number of anti-glaucoma medications in Saudi patients with open-angle glaucoma (OAG).Setting: King Fahad Hospital of the University, Al Khobar, Saudi Arabia.Design: Prospective, non-comparative, uncontrolled, non-randomized interventional case series.Methods: One iStent was implanted during phacoemulsification cataract surgery for adult patients with OAG by a single surgeon over a period of 3 years. Main outcome measures include number of anti-glaucoma medications, IOP, corrected distance visual acuity (CDVA) and complications.Results: Thirty-six eyes of 33 patients with OAG underwent the surgery. The pre-operative mean IOP and mean anti-glaucoma medications were 17.47 ± 5.44 mmHg and 2.69 ± 0.92, respectively. At 1 year of follow-up mean, IOP decreased to 13.44 ± 1.99 (23.1% reduction) (P< 0.001) and mean anti-glaucoma medications decreased to 1.47± 1.13 (45.4% reduction) (P< 0.001).Conclusion: After 12-month follow-up, phacoemulsification with the implantation of a single iStent seems to be an effective and safe procedure to lower IOP and the number of anti-glaucoma medications, and to overcome the problems associated with medication nonadherence in OAG patients with cataracts.Keywords: open-angle glaucoma, minimally invasive glaucoma surgery, Schlemm’s canal, iStent trabecular micro-bypassAl Habash AKhan ODove Medical Pressarticleopen angle glaucomaminimally invasive glaucoma surgeryistent trabecular microbypassOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1573-1580 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	open angle glaucoma minimally invasive glaucoma surgery istent trabecular microbypass Ophthalmology RE1-994
spellingShingle	open angle glaucoma minimally invasive glaucoma surgery istent trabecular microbypass Ophthalmology RE1-994 Al Habash A Khan O Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
description	Ahmed Al Habash,1 Omar Khan2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al Habash PO Box 31010, Khobar 31952, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To assess the effectiveness and safety of a single iStent trabecular micro-bypass stent implantation in combination with cataract surgery in lowering the intra ocular pressure (IOP) and number of anti-glaucoma medications in Saudi patients with open-angle glaucoma (OAG).Setting: King Fahad Hospital of the University, Al Khobar, Saudi Arabia.Design: Prospective, non-comparative, uncontrolled, non-randomized interventional case series.Methods: One iStent was implanted during phacoemulsification cataract surgery for adult patients with OAG by a single surgeon over a period of 3 years. Main outcome measures include number of anti-glaucoma medications, IOP, corrected distance visual acuity (CDVA) and complications.Results: Thirty-six eyes of 33 patients with OAG underwent the surgery. The pre-operative mean IOP and mean anti-glaucoma medications were 17.47 ± 5.44 mmHg and 2.69 ± 0.92, respectively. At 1 year of follow-up mean, IOP decreased to 13.44 ± 1.99 (23.1% reduction) (P< 0.001) and mean anti-glaucoma medications decreased to 1.47± 1.13 (45.4% reduction) (P< 0.001).Conclusion: After 12-month follow-up, phacoemulsification with the implantation of a single iStent seems to be an effective and safe procedure to lower IOP and the number of anti-glaucoma medications, and to overcome the problems associated with medication nonadherence in OAG patients with cataracts.Keywords: open-angle glaucoma, minimally invasive glaucoma surgery, Schlemm’s canal, iStent trabecular micro-bypass
format	article
author	Al Habash A Khan O
author_facet	Al Habash A Khan O
author_sort	Al Habash A
title	Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
title_short	Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
title_full	Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
title_fullStr	Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
title_full_unstemmed	Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population
title_sort	outcomes of combined istent trabecular micro-bypass and cataract surgery for the treatment of open-angle glaucoma in a saudi population
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9c8154ff1c9e4bcb825a9df52bc7b5af
work_keys_str_mv	AT alhabasha outcomesofcombinedistenttrabecularmicrobypassandcataractsurgeryforthetreatmentofopenangleglaucomainasaudipopulation AT khano outcomesofcombinedistenttrabecularmicrobypassandcataractsurgeryforthetreatmentofopenangleglaucomainasaudipopulation
_version_	1718398200545542144

Outcomes of Combined iStent Trabecular Micro-Bypass and Cataract Surgery for the Treatment of Open-Angle Glaucoma in a Saudi Population

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