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Combined phaco, trab a ‘stable’ alternative for cataract/glaucoma patients

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Surgeons who perform combined phacoemulsification and trabeculectomy with releasable sutures can provide patients with a “stable alternative,” according to a study.

Walter J. Stark, MD, and colleagues at Wilmer Eye Institute in Baltimore retrospectively analyzed 251 eyes of 198 patients after a combined phaco/trabeculectomy procedure. Mean follow-up was 16 months and included vision, IOP and number of glaucoma medications.

Preoperatively, mean best corrected visual acuity was 20/80; mean IOP was 18.7 mm Hg; and patients averaged 1.7 glaucoma medications, researchers said.

After combined surgeries, the mean IOP decreased 19.2% from baseline, and the number of glaucoma medications dropped 84.1%. A total of 85% of the patients reduced the number of glaucoma medications after surgery and 78% were medication-free with good IOP control, authors said. There were no significant intraoperative or postoperative complications, they added.

The study is published in the British Journal of Ophthalmology.