Modified 360-degree suture trabeculotomy combined with phacoemulsification and intraocular lens implantation for glaucoma and coexisting cataract

Shinmei, Yasuhiro; Kijima, Riki; Nitta, Takuya; Ishijima, Kan; Ohguchi, Takeshi; Chin, Shinki; Ishida, Susumu

Modified 360-degree suture trabeculotomy combined with phacoemulsification and intraocular lens implantation for glaucoma and coexisting cataract

Shinmei, Yasuhiro; Kijima, Riki; Nitta, Takuya et al.

Journal of Cataract & Refractive Surgery, 2016, 42(11), 1634-1641

Permalink : https://hdl.handle.net/2115/67489

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アクセス権	open access
URI	https://hdl.handle.net/2115/67489
タイトル	Modified 360-degree suture trabeculotomy combined with phacoemulsification and intraocular lens implantation for glaucoma and coexisting cataract
著者	Shinmei, Yasuhiro ; Kijima, Riki ; Nitta, Takuya ; Ishijima, Kan ; Ohguchi, Takeshi ; Chin, Shinki ; Ishida, Susumu
e-Rad_Researcher 00374398 著者名 Shinmei, Yasuhiro
著者名 Kijima, Riki
著者名 Nitta, Takuya
著者名 Ishijima, Kan
著者名 Ohguchi, Takeshi
e-Rad_Researcher 90236844 著者名 Chin, Shinki
e-Rad_Researcher 10245558 著者名 Ishida, Susumu
言語	英語
発行日	2016-11
出版者	Elsevier
収録物名	Journal of Cataract & Refractive Surgery
巻(号)	42(11)
ページ	1634-1641
抄録	PURPOSE: To assess the efficacy and safety of a modified 360-degree suture trabeculotomy combined with a cataract surgery technique in patients with glaucoma and coexisting cataract. SETTING: Hokkaido University Hospital, Sapporo, Japan. DESIGN: Retrospective case series. METHODS: Medical records of patients with glaucoma having a modified 360-degree trabeculotomy combined with cataract surgery (Group 1) were reviewed. Another group of patients who had the modified 360-degree suture trabeculotomy alone served as controls (Group 2). RESULTS: Both groups comprised 46 patients. In each group, eyes were diagnosed with primary angle-closure glaucoma in 2 eyes, primary open-angle glaucoma in 24 eyes, exfoliation glaucoma in 4 eyes, uveitic glaucoma in 15 eyes, and steroid glaucoma in 1 eye. The mean preoperative intraocular pressure (IOP) values were 27.2 mm Hg +/- 7.3 (SD) on 3.0 +/- 0.5 medications in Group 1 and 27.7 +/- 10.7 mm Hg on 2.9 +/- 0.6 medications in Group 2. Twelve months after surgery, the mean IOPs were 13.4 +/- 3.7 mm Hg on 0.8 +/- 1.1 medications in Group 1 and 13.9 +/- 4.1 mm Hg on 0.6 +/- 0.9 medications in Group 2. The success rate (<18 mm Hg) at 12 months was 89.1% and 93.5%, respectively. Major complications included transient IOP spikes (30.4% and 37.0%) and prolonged hyphema (10.9% and 6.5%) in Group 1 and Group 2, respectively. CONCLUSION: The data showed the equivalent effects of suture trabeculotomy combined with cataract surgery and suture trabeculotomy surgery alone on postoperative safety and efficacy.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0886-3350
関連情報	PMID 27956291
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.jcrs.2016.08.016