The Effectivenes of Combined Surgery Cataract and Glaucoma One Step and Two Steps in Primary Angle Closure Glaucoma Patients

Abstract

Primary angle closure glaucoma (PACG) caused a second blindness in Indonesia. The aim of this study to evaluate the efficacy and safety of surgical outcome between phacotrabeculectomy in one step procedure if the intra ocular pressure less than 26 mmHg (group A) or in two steps procedure if the IOP more than 26 mmHg (group B) in PACG coexisted with cataract. This was retrospetive desain study conducted at Dr Cipto Mangunkusumo, Jakarta with follow up within one year periode. The variables were noted such as age, gender, lateralitas, visual acuity (LogMAR), intraocular pressure (IOP), number of glaucoma medications, cup disc ratio, visual field and post-operative complications and duration of follow up.The complete success defined as IOP remained below 21 mm Hg, with no medications required, while qualified success defined as IOP below 21 mmHg with medications. A total of 39 eyes underwent phacotrabeculectomy one step-group A (22 eyes) vs phacotrabeculectomy two steps-group B (17 eyes). The mean follow-up period was 24.5 (range 12 to 49 mo) with complete success was achieved in 63.6% of group A and 70,6% of group B.. While Qualified success occured in 36.4% of group A and 2.,4% of group B. The mean IOP of between group A and group B at final follow up was not significantly different 12.45 ± 2.97 vs 12.45 ± 2 .97; p;0.13. There was reduction of number glaucoma medication in both group and hypotony was revealed in 1 eye after trabeculectomy. Conclusion; phacotrabeculectomy either one or two steps demonstrated comparable success rate and reduces number of glaucoma medication post-operatively. Normal 0 false false false EN-US JA X-NONE