Trabeculectomía asociada a facoemulsificación. Incisión única frente a doble incisión independienteestudio comparativo

  1. MB Isasi Saseta
  2. JL Urcelay Segura
  3. J Zamora Barrios
  4. J Ortega Usobiaga
  5. B Moreno García-Rubio
  6. C Cortés Valdés
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Ano de publicación: 2002

Volume: 77

Número: 12

Páxinas: 677-680

Tipo: Artigo

DOI: 10.4321/S0365-66912002001200007 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Resumo

Purpose: To compare the results of combined phacotrabeculectomy by means of a one-site versus two-site approach. Materials and methods: A retrospective study has been performed over 35 glaucomatous patients with a coexisting cataract, treated with a one-site (19 cases) or a two-site (16 cases) phacotrabeculectomy. First, effectiveness of both procedures has been proved by statisticly analysing the IOP and visual acuity changes after surgery. Normal distribution, homogeneity and homocedasticity from both groups have been checked. Finally, visual acuity and 6-month postoperatively IOP among both groups have been compared by means of a «mean difference t Student test for independent samples». Results: No statistical differences among both procedures have been found (p>0.05). Also, postoperative complications were similar among groups. Conclusions: Combined trabeculectomy and phacoemulsification surgery is a useful treatment for glaucomatous patients with coexisting cataract, and provides good visual and ocular-pressure results. One-site and two-site surgical approachs provide the same six-month follow-up results.

Referencias bibliográficas

  • Wishart, PK, Austin, MW. (1993). Combined cataract extraction and trabeculectomy: phacoemulsification compared with extracapsular technique. Ophthalmic Surg. 24. 814-821
  • Urcelay, JL, Ortega, J, Isasi, M. (1998). Actitud diagnóstica y terapéutica ante la asociación de catarata-glaucoma. Pharmacia & Upjohn. Madrid.
  • Wyse, T, Meyer, M, Ruderman, JM, Krupin, T, Talluto, D, Hernández, T. (1998). Combined trabeculectomy and phacoemulsification: a one-site vs a two-site approach. Am J ophthalmol. 125. 334-339
  • Alcalaya Learra, MA, Alcuaz Hidalgo, A, Sanabria Ruiz-Colmenares, MR. (1998). Resultados visuales y tensionales en facotrabeculectomía con incisión única. Microcirugía Ocular. 6. 121-124
  • El-Sayyad, F, Helal, M, El-Maghraby, A, Khalil, M, El-Hamzawey, H. (1999). One-site versys 2-site phacotrabeculectomy: a randomized study. J Cataract Refract Surg. 25. 77-82
  • Teus Guezala, M. (1998). Actitud diagnóstica y terapéutica ante la asociación de catarata-glaucoma. Pharmacia & Upjohn. Madrid.
  • Stewart, WC, Crinkley, CM, Carlson, AN. (1994). Results of trabeculectomy combined with phacoemulsification versus trabeculectomy combined with extracapsular cataract extraction in patients with advanced glaucoma. Ophthalmic Surg. 25. 621-627
  • Rossetti, L, Bucci, L, Miglior, S, Orzalesi, N. (1997). Temporal corneal phacoemulsification combined with separate-incision superior trabeculectomy vs standard phacotrabeculectomy: A comparative study. Acta Ophthalmol Scan (suppl). 39.
Fonte de datos: Dialnet