PHACO-TRAB VERSUS PHACO ONLY IN EYES WITH ADVANCED OR END-STAGE GLAUCOMA WITH CONTROLLED INTRAOCULAR PRESSURE AND VISUALLY SIGNIFICANT CATARACT Liaska.

Slides:

Advertisements

Similar presentations

Visual Field Examinations Week 5

Advertisements

TESTUPLOAD. TORSIONAL PHACOEMULSIFICATION In January 2006 Alcon Surgical incorporated Ozil torsional into the Infiniti Vision System. Unlike the conventional.

CATARACT SUEGRY AND DIABETES Indications of surgery: 1) Visual loss 2)Surveillance of retinopathy 3)Laser therapy.

Providing the full range of Local Enhanced Services: The case of Manchester Karen O’Brien Associate Director Primary Care Commissioning.

ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute.

Anupama Kotha 1, Simar J. Singh 1, William B. Trattler 1,2, Carlos Buznego 1,2 The authors have no financial interest in the subject matter of this poster.

A Prospective, Randomized, Comparative Evaluation of Patients with Contralateral Implantation of Two Aspheric Acrylic Intraocular Lenses R. Cionni, MD.

Eltutar, Kadir; Akcetin, Tulay A.; Ozcelik, N. Demet Istanbul Education and Research Hospital Department of Ophthalmology The authors state that they have.

Anterior Chamber Depth, Iridocorneal Angle Width, and Intraocular Pressure Changes After Phacoemulsification: Narrow vs Open Iridocorneal Angles Huang.

Phacoemulsification with Goniosynechialysis in the Management of Refractory Acute Angle-closure Glaucoma Ghasem Fakhraie*, MD, Mahmoud Jabbarvand, MD,

The Effect of the Restor Multifocal IOL on Frequency Doubling Perimetry Elizabeth Yeu, MD1, Elizabeth Woznak, BS2, Nicole Kesten, BS2, Steven VL Brown,

A Prospective Trial Comparing Scleral Pneumotonometry to Goldmann Applanation Tonometry Sara Duke, MD, Usiwoma Abugo, BS, Shuchi Patel MD Loyola University.

V G S Brar MD Dilraj Grewal MD Rajeev Jain, MD SPS Grewal MD Postoperative IOP and Anterior Chamber Inflammation Following Intracameral Injection of Pilocarpine.

RANDOMIZED CLINICAL TRIALS IN GLAUCOMA- WHAT DO THEY TELL US? Dr Jyoti Shetty B.W.Lions superspeciality eye hospital.

Phacoemulsification in eyes with previous anterior chamber phakic IOL surgery Walton Nosé, MD, PhD 1,2 Adriana dos Santos Forseto, MD 1 Mariana Ávila,

TARIQ ALASBALI WHICH PATIENTS ARE AT RISK FOR THE PROGRESSION?

Purpose: Introduction:  At initial evaluation: For post-op day # 0 patients: Pre-op VA was 20/50.6 (0.395 ± 0.198); Post-op VA was 20/102.0 (0.196 ± 0.162);

OCULAR HYPERTENSION AFTER PENETRATING KERATOPLASTY F Orucov, E Strassman, D Landau, J Frucht-Pery and A Solomon, Department of Ophthalmology, Hadassah-Hebrew.

A TOUR OF THE WORLD OF GLAUCOMA SURGERY Dr. Jennifer Fan Gaskin Glaucoma Specialist.

Laser-Ranibizumab-Triamcinolone for DME Study DRCR.net Protocol I

Glaucoma and Penetrating Keratoplasty : Incidence, Risk Factors, and Outcomes Sonika Gupta Consultant Ophthalmology Max Eye Care New Delhi, India Author.

Cataract Surgery After Trabeculectomy: The Effect on Trabeculectomy Function Husain R, Liang S, Foster PJ. Cataract surgery after trabeculectomy: the effect.

We retrospectively analyzed 58 patients with ONSM treated between on a dedicated 6 MV stereotactic LINAC. All cases were discussed in a multidisciplinary.

AlphaCor TM : A Novel Approach to Minimize Late Post-operative Complications V. Ngakeng MD, M. Price PhD. MBA, F. Price MD.

A Randomized Trial of Peribulbar Triamcinolone Acetonide with and without Focal Photocoagulation for Mild Diabetic Macular Edema: A Pilot Study.

How Do I Know My Glaucoma Treatment is Working? Dr Catherine Green Head: Glaucoma Unit RVEEH.

Combined cataract surgery and endoscopic cyclophotocoagulation in patients with glaucoma without prior incisional glaucoma surgery Matthew P. Traynor,

Hlavacova P., Vlkova E., Doskova H.

Nang-Hee Song(MD) 1, Jae-Woong Koh (MD/PhD) 1, Gil-Joong Yoon (MD/PhD) 2 Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Republic.

Glaucoma Care Project Team Members: Geoffrey T. Emerick, M.D. Erin Herlihy, B.S. Marilyn Hauser, M.B.A. Dianna Greening, R.N. Walter M. Jay, M.D Opportunity.

Ki-Cheol Chang, MD Department of Ophthalmology, Dankook University Hospital, South Korea Financial disclosure : Author has no commercial associations.

Sponsored by the National Eye Institute,

No author has any financial or proprietary interest in any materials or methods mentioned Seung Hyun Kim M.D. ; Tae Hoon Oh M.D. Department of Ophthalmology.

4/3/2016 U F G Universidade Federal de Goiás C B C O Centro Brasileiro de Cirurgia de Olhos A Prospective, Comparative Study Between Endoscopic Cyclophotocoagulation.

Descemet’s Stripping Endothelial Keratoplasty (DSEK) in patients with prior Trabeculectomy or Tube shunt surgery. Thadani S.M. Fynn-Thompson N. Authors.

Mr. A. Waldock MD BMed Sci (Hons) BM BS FRCOphth Consultant Ophthalmic Surgeon Ophthalmology Training Programme Director, East of England Deanery.

The Royal Victorian Eye and Ear Hospital 24-hour eye pressure and glaucoma Dr Simon Skalicky FRANZCO, MPhil, MMed (Ophthal Sci), MBBS (Hons 1) Visiting.

Long-term results of Phakic Refractive Lens (PRL™) implantation in high myopic eyes. Ioannis G. Pallikaris 1, 2, MD, PhD, Maria I. Kalyvianaki 1, MD, PhD,

Assessment of Anterior Segment Measurements with Swept Source Anterior Segment OCT Before and After Trabectome Surgery Handan Akil, Mayss Al-Sheikh, SriniVas.

iStent with phacoemulsification, n=50

The Efficacy and Safety of the Low Intensity Ultrasound Treatment in Patients with Open Angle Glaucoma Hyoung Won Bae, Gong Je Seong, Chan Yun Kim Institute.

Iwona Helemejko, MD 1; D. Robert Iskander, PhD2

COMBINED PHACOEMULSIFICATION AND TRANS-SCLERAL CYCLOPHOTOCOAGULATION

IMPACT OF CATARACT SURGERY UPON INTRAOCULAR PRESURE CONTROL IN GLAUCOMA PATIENTS Crenguta Feraru, Anca Pantalon “Gr.T. Popa” University of Medicine and.

Andrés Suárez-Campo, María López-Valladares

IOP control and corneal endothelial cell density changes

LONG-TERM RESULTS OF DEEP SCLERECTOMY IN NORMAL-TENSION GLAUCOMA

Selective laser trabeculoplasty in Korean eyes with medically uncontrolled pseudoexfoliation glaucoma Su Chan Lee1, Jung Hyun Lee1,

V. Kumar,1,2 M. Frolov,1 E. Bozhok,2 G. Dushina1

Early Intraocular Pressure Rise After Phacoemulsification In Non-Glaucomatous And Eyes With Primary Open-Angle Glaucoma Milos Todorovic 1, Suncica Sreckovic.

B. Kozomara, E. Potkonjak, R. Lazic, N. Gabric

A NEW INTRACANALICULAR DEVICE TO TREAT OPEN-ANGLE GLAUCOMA

Lasers in Glaucoma: Meta analysis

Aliki Liaska, Dpt of Ophthalmology,

Structure-Function Relationship Between the Bruch Membrane Opening-based Minimum Rim Width and Visual Field Defects in Advanced Glaucoma Serhat Imamoglu,

A presentation to: Meeting name Date

Clinical effect of citicoline combined with choline alfoscerate for treatment of glaucomatous optic neuropathy Karliychuk M.A., Pinchuk S.V. Department.

A presentation to: Meeting name Date

Frolov Mikhail, Dushina Galina

Kyoto Prefectural University of Medicine

Early Experience with Descemet’s Stripping Automated Endothelial Keratoplasty Combined with Phacoemulsification: Clinical and Refractive Outcome University.

Glaucoma Progression.

Clinical Cases in Glaucoma Treatment

Long term Results of Endothelial Keratoplasty in patients with failed penetrating Keratoplasty Maoz D. Amiran, MD, Raneen Shehadeh-Mashor, MD, Marie Eve.

Clinical study of open angle glaucoma surgery treatment trough deep slerectomy with T-Flux NV implant: three years follow-up Dr. Marco Rossi Dr Michele.

Özcan R. Kayıkçıoğlu, Sinan Emre

CHAMPION Trial design: Patients with recent hospitalization for heart failure were implanted with a pulmonary artery pressure monitor and randomized so.

A presentation to: Meeting name Date

Ophthalmology Glaucoma

Japanese Red Cross Society

Presentation transcript:

PHACO-TRAB VERSUS PHACO ONLY IN EYES WITH ADVANCED OR END-STAGE GLAUCOMA WITH CONTROLLED INTRAOCULAR PRESSURE AND VISUALLY SIGNIFICANT CATARACT Liaska A¹., Papakonstantinou D², Theodosiadis P³, Vergados I³ ¹Dpt of Ophthalmology, General Hospital of Lamia, Lamia, Greece ²University of Athens, A’ Department of Ophthalmology, GENNIMATAS Hospital, Athens, Greece ³University of Athens, B’ Department of Ophthalmology, ATTIKON Hospital, Athens, Greece Dpt of Ophthalmology, Hellenic Red Cross Hospital, Athens, Greece

Purpose it is estimated that cataract surgery alone has a beneficial effect by mildly lowering the intraocular pressure. However, it is possible that even temporary loss of intraocular pressure (IOP) control may occur after cataract operation. This event may be of utmost importance in eyes with already severely compromised optic nerves. The purpose of the study is to investigate the advantages and disadvantages of phaco-only versus combined phaco-trab operation in eyes with advanced or end stage glaucoma.

Patients/Method Prospective study of 67 patients with advanced or end-stage glaucoma with IOP≤21mmHg on topical medication and visually significant cataract (VA ranging from Hand Movements to 4/10). All patients were randomized to have either combined surgery (phaco-trab) (Group A, 33 eyes) or phaco only (Group B, 34 eyes). Follow up for 6 months. Main outcome measures: 1)Visual Acuity (VA) at 1, 3 and 6 months postoperatively.2)Visual Fields test (VF) at 1, 3 and 6 months postop 3) IOP at 1 st, 4 th and 7 th day postop, weekly thereafter until the end of the second month and monthly afterwards until the end of follow up period. Appropriate pressure lowering medication was given whenever the IOP was found to exceed the “21mmHg” barrier.

Results all patients experienced improvement of VA. In Group A IOPs were lower by 4mmHg (range 3-10) and this difference was consistent during the whole follow up period. However, the White on White Automated Perimetry did not reveal progression of glaucoma lesions in either Group.

Conclusion Higher IOPs postoperatively in phaco- only patients do not seem to have an effect on glaucoma lesions, provided that close IOP monitoring and treatment are taking place, as far as the first six months’ postoperative period is concerned.