Surgical outcomes of phakic, pseudophakic and combined phaco-trabeculectomy in a tertiary care centre in Saudi Arabia.
In: International Ophthalmology, Jg. 42 (2022-09-01), Heft 9, S. 2903-2914
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Zugriff:
Purpose: To compare the outcomes of phakic, pseudophakic and combined phaco-trabeculectomy in eyes of Saudi patients. Methods: This was a retrospective cohort study. Eyes of patients with primary open angle glaucoma, primary angle closure glaucoma or secondary exfoliation glaucoma (XFG) that underwent phakic (n = 152), pseudophakic (n = 40) or combined phaco-trabeculectomy (n = 45) at the King Khaled Eye Specialist Hospital, Riyadh from January 2012 to December 2017 were included. The primary outcome measure was the success at 3 years after surgery. Complete success was defined as achieving an intraocular pressure (IOP) of ≥ 6 and ≤ 21 mmHg without topical antiglaucoma medications; qualified success as achieving the same IOP criteria with or without the use of glaucoma medications. Cumulative probabilities of failure were computed using Kaplan–Meier survival analysis. We used Cox regression analysis to identify factors associated with treatment failure. Reduction in mean IOP and AGM over time was estimated using mixed-effects linear models. Results: The mean decrease in IOP at 3 years from baseline in the phakic, pseudophakic and combined groups was 12.0 (95% CI, 9.9, 14.1) mmHg, 10.1 (95% 6.3, 13.9) mmHg, and 6.4 (95% CI, 1.9, 11.0) mmHg, respectively, and was not significantly different from each other. The values for qualified success were also comparable: 95.2% (95% CI: 86.7–99.0), 95.3% (95% CI: 76.2–99.9), 92.3% (95% CI: 64.0–99.8). Failure was significantly associated with postoperative suturelysis (p = 0.004), XFG (p = 0.018) and AGM (p = 0.038). Conclusions: This is the first study to provide relative surgical outcomes of trabeculectomy, phaco-trabeculectomy and pseudophakic trabeculectomy in Saudi Arabia and did not show any significant difference in terms of overall success. [ABSTRACT FROM AUTHOR]
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Titel: |
Surgical outcomes of phakic, pseudophakic and combined phaco-trabeculectomy in a tertiary care centre in Saudi Arabia.
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Autor/in / Beteiligte Person: | Dibaji, Mohammed ; Alghulaydhawi, Fahad ; Fahad, Norah ; AlShareef, Mozon ; Ahmad, Khabir ; Khandekar, Rajiv ; AlShahwan, Sami ; AlBeshri, Ali ; Malik, Rizwan |
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Zeitschrift: | International Ophthalmology, Jg. 42 (2022-09-01), Heft 9, S. 2903-2914 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 0165-5701 (print) |
DOI: | 10.1007/s10792-022-02280-y |
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