Refractive Outcomes After Trabecular Micro-Bypass Stents (iStent Inject ) with Cataract Extraction in Open-Angle Glaucoma

Clinical Ophthalmology
Alexandros S IoannidisChristopher Hodge

Abstract

Simultaneous cataract and glaucoma surgery has traditionally been challenging for the anterior segment surgeon. The introduction of minimally invasive glaucoma surgery (MIGS) in conjunction with cataract surgery appears safe and effective in lowering intraocular pressure. Although a significant visual impact leading from the combined procedure is unexpected, we aim to describe the refractive outcomes in a cohort of patients undergoing simultaneous cataract removal and iStent inject and discuss the potential implications of combined surgery in patients with co-existent glaucoma. This is a retrospective consecutive case series inclusive of patients undergoing combined femtosecond laser-assisted cataract surgery and the insertion of two trabecular micro-bypass stents (iStent inject). Visual acuity, refraction and astigmatic vector analysis were collated and analysed from the preoperative and 4 weeks postoperative visits. One hundred and six eyes of 89 patients from 2 surgeons were included in the original cohort. The mean absolute difference from target refraction was 0.36 ± 0.25D. 73.9% of eyes were within ± 0.5D of the refractive target and 98.9% of eyes were within ± 1.00D. 73.8% of eyes had 0.5D or less residual refractive ast...Continue Reading

References

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Citations

Oct 30, 2020·Clinical Ophthalmology·Ahmed Al Habash, Ahmed A Nagshbandi
Aug 26, 2020·Journal of Cataract and Refractive Surgery·Wesam Shamseldin ShalabyDaniel Lee
May 14, 2021·Clinical Ophthalmology·Ricardo Augusto Paletta GuedesAlfredo Chaoubah
Jul 13, 2021·Acta Ophthalmologica·John Tsia-Chuen KanBryan Chin Hou Ang
Aug 25, 2021·Indian Journal of Ophthalmology·Wesam Shamseldin ShalabyDaniel Lee
Jul 14, 2021·Journal of Glaucoma·Marta Ibarz BarberáMiguel A Teus

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