A Comparative Study on IOP Control, Visual Outcome and Complications Following Phaco-trabeculectomy in Primary Open Angle Glaucoma (POAG), Primary Angle Closure Glaucoma (PACG) and Pseudo exfoliative glaucoma(PXFG) with Cataract.

Kaiyoor Surya Divyalakshmi; Rengappa Ramakrishnan

Volume : VII, Issue : II, February - 2018

A Comparative Study on IOP Control, Visual Outcome and Complications Following Phaco-trabeculectomy in Primary Open Angle Glaucoma (POAG), Primary Angle Closure Glaucoma (PACG) and Pseudo exfoliative glaucoma(PXFG) with Cataract.

Kaiyoor Surya Divyalakshmi, Rengappa Ramakrishnan

Abstract :

BACKGROUND: Incidence of concurrent Glaucoma and Cataract is increasing. Phacotrabeculectomy can be considered in these cases. Comparision of visual outcome, IOP control and complications of 3 different types of glaucoma undergoing phacotrabeculectomy will be done.

METHODS: In this study, 90 eyes with cataract were divided into three groups, group A– POAG, group B – PACG, group C – PXFG. All underwent phacotrabeculectomy by a single surgeon.

RESULTS: No significant difference was seen in the three groups with respect to IOP control, complications and visual outcome except at 1 month when high IOP was noted in POAG and PACG and underwent laser suturolysis which was statistically significant (p <0.05).

CONCLUSION: Excellent results achieved in all the three groups of glaucoma imply that the phacotrabeculectomy might be a safe and effective surgery for IOP control and early visual rehabilitation in patients having co–existent cataract and glaucoma. Also no significant difference was noted in the rate of intraoperative complications between pseudo–exfoliation glaucoma and other types of glaucoma.