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Modified phacotrabeculectomy an alternative for managing glaucoma, cataract
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BOSTON — Performing phaco plus trabeculectomy without a peripheral iridectomy may be an option for surgical management of coexisting cataract and glaucoma, according to a study here.
Bradford Shingleton, MD, and colleagues retrospectively evaluated 126 eyes of 117 patients randomized to peripheral iridectomy (PI) or no PI during phacotrabeculectomy. Follow-up was 12 months.
No statistically significant differences between the two groups in visual acuity or intraocular pressure were seen postoperatively. Bleb development required significantly more 5-fluorouracil therapy in the non-PI group than in the PI group. However, bleb failure and the need for laser suture lysis were not significantly different between the groups.
The study is published in the June issue of Journal of Cataract & Refractive Surgery.