Evaluation of visual and surgical outcomes after

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Nov 12, 2016 - The only complications that occurred were hypotony with choroidal effusion. None of the eyes developed hypotonic maculopathy. Functioning ...
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Original Article

Evaluation of visual and surgical outcomes after phacotrabeculectomy in patients with primary open angle and primary closed angle glaucomas ABSTRACT Introduction: Both glaucoma and cataract often coexist in the elderly population. In these patients, a combined surgery has advantages such as improved vision and intraocular pressure (IOP) reduction in a single sitting. Aim: The aim of this study was to evaluate the effectiveness and safety of the combined procedure in patients with coexisting cataract and primary open or closed‑angle glaucoma. Materials and Methods: A prospective study was conducted which included 20 eyes of 17 patients planned for phacotrabeculectomy procedure. Preoperative evaluation included detailed ocular examination for the grade of cataract, glaucoma evaluation, and exclusion of ocular comorbidities. A superior trabeculectomy with mitomycin C and temporal phacoemulsification with in the bag intraocular lens implantation was performed. Postoperatively, improvement in the best corrected visual acuity, IOP control, and reduction in the number of antiglaucoma medications was evaluated. Patients were followed for a 6‑month period. Results: Postoperatively, all the patients had significant improvement in best corrected visual acuity  (P