Purpose of the Study. To compare the efficacy and safety of phacotrabeculectomy (P-Trab) and phacoemulsification with the ExPress\n(P-ExPress) mini glaucoma shunt implantation. Study Plan. Prospective randomized study. Material and Methods. 85 eyes with\ncataract and unregulated open angle glaucoma. There were 46 eyes in the P-ExPress and 39 the P-Trab group. Intraocular pressure\n(IOP), the number of antiglaucoma medications, qualified and complete surgical success (defined as IOP ? 18.0mmHg), visual\nacuity (CDVA), the number of endothelial cells, and postoperative complications and additional procedures were assessed. Results.\nAfter 12 months of observation, the average IOP in the P-Express group went from 26.4 �± 9.3 down to 17.1 �± 5mmHg (P < 0.05) and\nfrom 27.9 �± 12.9 down to 15.9 �± 2.7mmHg in the P-Trab group (P < 0.05). No significant differences in the amount of medications\nused after surgery and CDVA were discovered between the groups. In the P-ExPress group, greater loss of endothelial cells was\nnoted (CDloss%), compared to the P-Trab group. Conclusions. Both P-ExPress and P-Trab have comparable efficacy and similar\nearly postoperative complication profile. The presence of additional implant (as is the case of the ExPress mini glaucoma shunt\nimplantation) may cause progressive loss of endothelial cells.
Loading....