当前位置： SCI文献检索 > BMC Ophthalmology期刊下所有文献 > Effect of different incision sites of phacoemulsification on trabeculectomy bleb function: prospective case-control study.

Effect of different incision sites of phacoemulsification on trabeculectomy bleb function: prospective case-control study.

Abstract：

BACKGROUND:The aim of this study was to compare superior and temporal clear corneal incisions of uneventful phacoemulsification and in-the-bag intraocular lens implantation on intraocular pressure control and the bleb morphology in eyes that have undergone previous successful trabeculectomy. METHODS:In this Prospective case-control study, a total of 100 eyes of 100 patients previously undergone trabeculectomy without antimetabolites, divided into two groups. Group A (temporal group) including 50 patients underwent phacoemulsification with a temporal corneal incision and group B (superior group) including 50 patients underwent phacoemulsification with a superior corneal incision. Comparisons between the two groups were performed after one year of follow-up regarding Intraocular pressure changes, bleb morphology score using the Wuerzburg bleb classification score and any added glaucoma medications. RESULTS:At the last visit, the mean intraocular pressure for the temporal group was 17.55 ± 1.47 (p = 0.51) and for the superior group was 16.90 ± 1.71 (p = 0.85); the difference between the two groups was insignificant (p = 0.21). Regarding the bleb morphology, the mean bleb morphology score in the temporal group was 10.50 ± 0.95 (p = 0.19) and for the superior group was 10.20 ± 1.06 (p = 0.01).There was an insignificant difference in the bleb grading morphology regarding both groups (p = 0.35). CONCLUSION:Our study demonstrates that phacoemulsification whether done with a clear temporal or clear superior wound, does not affect intraocular pressure, bleb morphology or function after one year of follow-up in eyes following previous successful trabeculectomy. Furthermore, cataract surgery may be performed safely in eyes with functioning filtering blebs. TRIAL REGISTRATION:ISRCTN91835217 'retrospectively registered' Date Of registration 6/6/2017.

journal_name

BMC Ophthalmol

journal_title

BMC ophthalmology

authors

Anbar M,Ammar H

doi

10.1186/s12886-017-0500-9

subject

Has Abstract

pub_date

2017-06-26 00:00:00

pages

103

issue

issn

1471-2415

pii

10.1186/s12886-017-0500-9

journal_volume

pub_type

杂志文章,随机对照试验

在线工具

Effect of different incision sites of phacoemulsification on trabeculectomy bleb function: prospective case-control study.