Outcomes of combined phacoemulsification and deep sclerectomy: a 10-year UK single-centre study

Eye
K MerciecaNitin Anand

Abstract

To report the outcomes of combined phacoemulsification and -deep sclerectomy (phaco-DS) from a single UK centre over a 10-year period. Retrospective analysis of phaco-DS data extracted from an ongoing glaucoma surgery database within Calderdale and Huddersfield NHS Trust. Two hundred and ninety-six eyes of 282 patients were included. Data included patient demographics, pre- and postoperative intraocular pressure (IOP), use of mitomycin C (MMC), spacer device implantation, and follow-up details including surgical success rates. IOP success criteria were: (A) IOP <19 mm Hg and/or 20% decrease from baseline and (B) IOP <16 mm Hg and/or 30% drop from baseline. Mean follow-up was 63.5 ± 35.3 months. MMC was applied in 145 eyes (49%). Kaplan-Meier success rates in all eyes for criteria A were 89.1% and 80% with glaucoma medications (qualified success) and 81.2% and 68.3% without medications (unqualified success) at 2 and 5 years, respectively. Qualified success for criteria B was 72.4 and 61.4% and unqualified rates were 67.2 and 55.2% for the same time periods. Repeated-measures ANOVA showed significantly lower IOP in the phaco-DS with MMC group up to 3 years postoperatively (P = 0.002). Cox's proportional hazards for criteria B, ho...Continue Reading

Associated Clinical Trials

Jun 12, 2020·Ameera Gamal Abdelhameed

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Citations

Jun 24, 2017·Eye·K MerciecaUNKNOWN Medscape
Jan 25, 2019·Journal of Glaucoma·Tanya KaraconjiNitin Anand
Nov 18, 2017·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Carlo Alberto CutoloCarlo Enrico Traverso
Oct 28, 2017·European Journal of Ophthalmology·Francisco Pérez BartoloméKin S Lim
May 2, 2021·The British Journal of Ophthalmology·Lee Joseph HollandKarl J Mercieca

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