Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/86523
Title: Intraocular Pressure, Axial Length, and Refractive Changes after Phacoemulsification and Trabeculectomy for Open-Angle Glaucoma
Authors: Popa-Cherecheanu, Alina
Iancu, Raluca Claudia
Schmetterer, Leopold
Pirvulescu, Ruxandra
Coviltir, Valeria
Keywords: Refractive Changes
Open-Angle Glaucoma
Issue Date: 2017
Source: Popa-Cherecheanu, A., Iancu, R. C., Schmetterer, L., Pirvulescu, R., & Coviltir, V. (2017). Intraocular Pressure, Axial Length, and Refractive Changes after Phacoemulsification and Trabeculectomy for Open-Angle Glaucoma. Journal of Ophthalmology, 2017, 1203269-.
Series/Report no.: Journal of Ophthalmology
Abstract: Purpose. To compare changes in intraocular pressure (IOP), axial eye length (AEL), and refractive outcome in primary open-angle glaucoma patients undergoing cataract surgery and trabeculectomy in dependence of the sequence of surgeries. Materials and Methods. We retrospectively analysed 48 eyes. The changes in refraction, intraocular pressure, and axial eye length were analysed after surgery. In group A (21 subjects), phacoemulsification was performed before trabeculectomy, and in group B (27 subjects), trabeculectomy was performed before phacoemulsification with a minimum time span between interventions of 6 months. Results. The reduction in IOP and the decrease in AEL after trabeculectomy were significant after 6 and 12 months postsurgery ( p<0.001 each). The decrease in AEL was 0.42 ± 0.11% at 6 months after surgery and 0.40 ± 0.13% after 12 months from surgery; this decrease in AEL was comparable between the groups. The refractive outcome was significantly different between the groups (group A: 0.35 ± 0.75 dpt, group B: −0.05 ± 0.36 dpt, p =0.018 ); in group A, trabeculectomy caused a hyperopic shift of 0.34 ± 0.44 dpt (p = 0.002) at 12 months postsurgery. Conclusion. IOP reduction after trabeculectomy causes AEL shortening. The effect on refractive outcome depends on the sequence of surgeries. Better refractive outcome is achieved if phacoemulsification is performed after trabeculectomy.
URI: https://hdl.handle.net/10356/86523
http://hdl.handle.net/10220/44050
ISSN: 2090-004X
DOI: 10.1155/2017/1203269
Rights: © 2017 Alina Popa-Cherecheanu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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