Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients
Awwad, M., Helal, H., Hamouda, T., Mohamed, S. (2023). Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients. EKB Journal Management System, 40(Special issue (Surgery)), 142-156. doi: 10.21608/bmfj.2022.136448.1590
Mohamed Awwad; Hend Helal; Taisir Hamouda; Soha Moussa Mohamed. "Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients". EKB Journal Management System, 40, Special issue (Surgery), 2023, 142-156. doi: 10.21608/bmfj.2022.136448.1590
Awwad, M., Helal, H., Hamouda, T., Mohamed, S. (2023). 'Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients', EKB Journal Management System, 40(Special issue (Surgery)), pp. 142-156. doi: 10.21608/bmfj.2022.136448.1590
Awwad, M., Helal, H., Hamouda, T., Mohamed, S. Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients. EKB Journal Management System, 2023; 40(Special issue (Surgery)): 142-156. doi: 10.21608/bmfj.2022.136448.1590

Impact of Phacoemulsification versus combined Phacoemulsification-goniotomy on intraocular pressure in primary open-angle glaucoma patients

Benha Medical Journal
Article 11, Volume 40, Special issue (Surgery), January and February 2023, Page 142-156  XML PDF (671.35 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2022.136448.1590
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Authors
Mohamed Awwad email orcid 1; Hend Helal2; Taisir Hamouda3; Soha Moussa Mohamed4
1Ophthalmology Department, BenhFaculty of Medicine, Benha University
2Ophthalmology department ,Faculty of medicine , Benha University .
3Department of Ophthalmology, Faculty of Medicine, Benha university
4Ophthalmology Department, Faculty of Medicine, Benha university
Abstract
Purpose:
To compare efficacy and safety of combined phacoemulsification-goniotomy to phacoemulsification alone on intraocular pressure (IOP) primary open-angle glaucoma (POAG) patients.

Design: comparative retrospective

Patients and Methods:
The study included 2 groups with POAG & cataracts. Group (Ph) included thirty patients who had phacoemulsification alone; while Group (PhG) included thirty patients who had combined phacoemulsification-goniotomy. They were further divided into severe (Phs and PhGs) and moderate (Phm and PhGm) glaucoma groups depending on the level of glaucoma. We recorded the medicated preoperative IOP, number of glaucoma drops, and postoperative IOP for all patients. We followed up patients for 24 months for IOP and the number of IOP lowering drops.

Results:
On first postoperative week, Group (Ph) recorded a reduction of IOP from 35±0.54 and 33±1.9 to 31±0.83 and 28±1.2 mmHg in groups Phs and Phm, respectively. Therefore, we needed to reintroduce IOP lowering medications for all patients in group Ph with no significant drop in the number of IOP lowering medications by the 24-month follow-up. In group (PhG), we noted a significant fall in postoperative IOP in the first follow-up week from 34±0.29 and 31±0.9 to 26±1.2 and 14±0.9 mmHg in groups PhGs and PhGm, respectively (P-value
Keywords
Goniotomy; Phacoemulsification; IOP; Glaucoma; Medications
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