A large retrospective analysis of more than 150,000 eyes from a national eye registry have shown that combining surgeries for glaucoma and cataract into one procedure didn't diminish the effectiveness of the glaucoma portion. AAO2022
CHICAGO, Illinois — A large retrospective analysis of more than 150,000 eyes from a national eye registry have shown that combining surgeries for glaucoma and cataract into one procedure didn't diminish the effectiveness of the glaucoma portion. Moreover, people who had two separate operations were more likely to need another glaucoma procedure.
"We found that overall reoperation rates were low for all groups, but that the surgery when combined with phacoemulsification actually had a lower reoperation rate than the surgery done standalone, and that was also in line with what other studies have done," Zebardast said. Said Zebardast,"But we did find that intraocular pressure [IOP] declined to a greater amount when both trabeculectomy and drainage devices were done alone without phacoemulsification." IOP declined from an average of 22 mm Hg at baseline to 13 mm Hg at 3 years for trabeculectomy alone vs 19 mm Hg to 14 mm Hg in the trabeculectomy-phacoemulsification group. In the GDD-only and combined groups, the IOP declines were from 26 mm Hg to 15 mm Hg and 23 mm Hg to 15 mm Hg, respectively.
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