Influence of Phacoemulsification on Intraocular Pressure in the Eye after Trabeculectomy
Aim: The aim of this study was to question whether there is a difference in the change of intraocular pressure (IOP) between groups of participants, achieved by phacoemulsification after trabeculectomy, considering the height of IOP at beginning. As well as whether there is a decreased necessity for...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine Osijek
2025-07-01
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| Series: | Southeastern European Medical Journal |
| Subjects: | |
| Online Access: | https://seemedj.mefos.unios.hr/index.php/seemedj/article/view/363/217 |
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| Summary: | Aim: The aim of this study was to question whether there is a difference in the change of intraocular pressure (IOP) between groups of participants, achieved by phacoemulsification after trabeculectomy, considering the height of IOP at beginning. As well as whether there is a decreased necessity for topical antiglaucoma (ATG) medications.
Participants and methods: Study was conducted on 26 participants submitted to cataract surgery after trabeculectomy at the Clinic for Eye Diseases in Osijek (January 2017 - December 2019). IOP values were noted at day zero, seventh day, after a month and six months after patients underwent cataract surgery with phacoemulsification; also, number and type of topical medications.
Results: Historic cohort study included 26 patients (19 women, 7 men). Statistically significant decrease of IOP was noticed from day zero and six months after (Friedman's test, P < 0.001). Significant difference was in measured value of IOP at day zero and the first day (Friedman's test, P < 0.05). No statistically significant difference was in participant groups according to IOP (Marginal Homogeneity test, P = 0.06).
Conclusion: Trabeculectomy alone and trabeculectomy combined with phacoemulsification, are justified procedures to achieve a decrease in the IOP value and its regulation with subsequent possibility of decrease in usage of local ATG therapy. Phacoemulsification after trabeculectomy ensures an additional decrease of the IOP. |
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| ISSN: | 2459-9484 |