To compare long-term intraocular pressure (IOP) control after extracapsular cataract extraction and intraocular lens (IOL) implantation combined with trabeculectomy (ECCE+TRAB) with that after phacotrabeculectomy and IOL implantation,
Glaucoma Unit, Royal Liverpool University Hospital, Liverpool, England.
This retrospective study comprised 32 eyes having ECCE+TRAB and 31 eyes having phacotrabeculectomy with a mean follow-up of 37.5 and 41.0 months, respectively. The need for pressure-lowering medication was recorded. Kaplan-Meier curves were created for each group.
At every measurement after 3 weeks of follow-up, significantly fewer eyes in the phacotrabeculectomy group required IOP-lowering medication (P
After both ECCE+TRAB and phacotrabeculectomy, IOP control was achieved in significantly more eyes on fewer pressure-lowering medications than preoperatively. Phacotrabeculectomy with IOL implantation led to better unaided long-term postoperative IOP control than ECCE+TRAB with IOL implantation.