A new surgical triple procedure in pseudoexfoliation glaucoma using cataract surgery, Trabectome, and trabecular aspiration

Background To evaluate the potential of lowering intraocular pressure in pseudoexfoliation glaucoma with combined phacoemulsification, Trabectome, and trabecular aspiration (triple procedure) compared to phacoemulsification and trabecular aspiration alone. Methods Using a case-matched retrospective...

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Published in:Graefe's archive for clinical and experimental ophthalmology 2014-12, Vol.252 (12), p.1971-1975
Main Authors: Widder, Randolf A., Dinslage, Sven, Rosentreter, André, Jordan, Jens F, Kühnrich, Pia, Cursiefen, Claus, Lemmen, Klaus-Dieter, Dietlein, Thomas S.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Drainage - methods
Exfoliation Syndrome - physiopathology
Exfoliation Syndrome - surgery
Female
Follow-Up Studies
Glaucoma
Glaucoma, Open-Angle - physiopathology
Glaucoma, Open-Angle - surgery
Humans
Intraocular Pressure - physiology
Male
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Phacoemulsification - methods
Retrospective Studies
Tonometry, Ocular
Trabeculectomy - methods
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Summary:Background To evaluate the potential of lowering intraocular pressure in pseudoexfoliation glaucoma with combined phacoemulsification, Trabectome, and trabecular aspiration (triple procedure) compared to phacoemulsification and trabecular aspiration alone. Methods Using a case-matched retrospective study design, 30 patients were included into each group. The main outcome measures were the reduction of intraocular pressure and medication score at the end of follow-up. Clinical data were collected from the patients’ medical records. Results Mean follow-up was 15 months in both groups. Intraocular pressure decreased from 25.3 ± 6.3 mmHg to 14.4 ± 3.7 mmHg ( p  
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-014-2795-z