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Phaco with viscocanalostomy or trabeculotomy equally effective in Japanese eyes

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KYOTO, Japan — Combined surgery with phaco and either viscocanalostomy or trabeculotomy was equally effective in lowering intraocular pressure in a study here.

In a nonrandomized clinical trial, researchers here compared the results in 114 eyes of Japanese patients with primary open-angle glaucoma and cataract. Fifty-seven eyes underwent viscocanalostomy with phaco and IOL implantation and were followed for more than 6 months; 57 eyes underwent trabeculotomy, phaco and IOL implantation and were followed for more than 6 months but less than 2 years.

Significant reductions in IOP and antiglaucoma medication use were seen in both groups up to 1 year postoperatively, but differences were not statistically significant between the two groups.

The study is published in the October issue of American Journal of Ophthalmology.