Cataract versus combined surgery in pseudoexfoliation glaucoma

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dc.contributor.authorRao, Aparnaen_US
dc.contributor.authorCruz, Rakhi Den_US
dc.date.accessioned2023-08-25T06:36:23Z
dc.date.available2023-08-25T06:36:23Z
dc.date.issued2023-03
dc.description.abstractPurpose: Pseudoexfoliation glaucoma (XFG) is often associated with a higher rate of intraoperative complications and failure. This study aims to compare the long?term clinical and surgical outcomes of cataract surgery alone versus combined surgery in XFG. This was a retrospective comparative case series. Methods: All patients with XFG who underwent either cataract surgery alone [group 1: either phacoemulsification, PHACO/small?incision cataract surgery (SICS), n = 35] or combined surgery (group 2: phacotrabeculectomy, PHACOT or SICS + trabeculectomy, n = 46) from 2013 to 2018 by a single trained surgeon were screened and recalled for a detailed clinical examination, including Humphrey visual field analysis at 3?monthly intervals for a minimum of 3 years. Surgical success (intraocular pressure, IOP, <21 mm Hg and >6 mm Hg with (qualified success) or without medicines, complete success, survival rates, visual field changes, and need for additional procedures/medicines for IOP control were compared between groups. Results: A total of 81 eyes of 68 patients with XFG were included in this study (groups 1–35 eyes and groups 2–46 eyes each). Both groups achieved 27–40% IOP reduction from preoperative IOP levels, P < 0.001. Surgical success rates were similar in both groups (complete success 66% vs 55%, P = 0.4), qualified success 17% vs 24%, P = 0.8, in groups 1 and 2). Kaplan–Meier analysis showed a marginally better survival rate for group 1, 75% (55–87%), than group 2, 66% (50–78%), at 3 and 5 years which was not significantly different. The number of eyes that progressed at 5 years after surgery (5–6%) was similar in both groups. Conclusion: Cataract surgery can be as effective as combined surgery in XFG eyes with regards to final visual acuity, long?term IOP profile, and visual field progression, and complications/survival rates are comparable between the two procedures.en_US
dc.identifier.affiliationsGlaucoma Services, LV Prasad Eye Institute, MTC Campus, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.citationRao Aparna, Cruz Rakhi D. Cataract versus combined surgery in pseudoexfoliation glaucoma. Indian Journal of Ophthalmology. 2023 Mar; 71(3): 797-802en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224879
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1669_22en_US
dc.subjectComplications in pseudoexfoliationen_US
dc.subjectphacotrabeculectomyen_US
dc.subjectpseudoexfoliation glaucomaen_US
dc.subjectsmall?incision cataract surgeryen_US
dc.subjectsurgical successen_US
dc.titleCataract versus combined surgery in pseudoexfoliation glaucomaen_US
dc.typeJournal Articleen_US
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