November 09, 2011
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Anterior lens capsule may be viable as adjunct to trabeculectomy


J Glaucoma. 2011;20(8):514-518.

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Using the anterior lens capsule that is removed during phacotrabeculectomy as an adjunct to trabeculectomy may be efficacious, a study suggested.

"The lack of serious complications, the good short-term success rate, the lack of additional costs, and the availability of the anterior lens capsule in combined procedures make this an appealing alternative especially in developing countries, where patient compliance with follow-up is poor, the risk of bacterial contamination is high, and cost are all important factors," the authors wrote.

In the prospective, randomized study, two-site phacotrabeculectomy was performed in 41 patients. Afterward, 20 patients underwent anterior lens placement under the scleral flap, and 21 received mitomycin C.

There were no significant differences between the groups regarding IOP, glaucoma medications or visual acuity, and no complications were related specifically to usage of the anterior lens capsule.

The procedure was performed in both eyes of several patients, leading the study authors to recommend another analysis comparing anterior lens- and mitomycin C-assisted phacotrabeculectomy each in one eye.